Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... and Dry): • Most ... water #Shock #Classification ... Types #diagnosis #management ... #dry #table
Chronic Obstructive Pulmonary Disease (COPD)
 • COPD Definition
 • Role of PFTs
 • COPD Classification and
) • COPD Definition ... Classification ... and Evaluation (GOLD ... factors and confirm post-bronchodilator ... #diagnosis #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... beriberi CARDIOGENIC (Cold ... ring OBSTRUCTIVE (Cold ... water #Shock #Classification ... types #diagnosis #management
Crystalloid pH, Contents and Costs Compared
Plasma	pH 7.4
Normal Saline	pH 5.5*	
Ringer’s Lactate pH 6.5	
Plasmalyte A pH 6.5	
Coca-cola pH
, Contents and Costs ... pH 6.5 Coca-cola ... #pH #Contents #Comparison ... #Table #Pharmacology ... #Costs #NS #LR
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
and Evaluation: Cost ... - Cost per test ... Syncope #diagnosis #workup ... Effectiveness #table ... #comparison
Hypernatremia - Diagnostic Evaluation Algorithm
Step 1: Consider history. Most patients presenting with hypernatremia are either very
Diagnostic Evaluation Algorithm ... Most patients presenting ... young or very old ... Hypernatremia #Diagnosis #Workup ... #Evaluation #Algorithm
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Bedside Classification ... Endocarditis - Post-MI ... CM #Shock #Classification ... #Cardiogenic #Comparison ... #Table #Diagnosis
Hordeolum vs Chalazion

Hordeolum (Stye):
 • Location: Most commonly found at or near an eyelash follicle
 •
• Location: Most ... • Location: Most ... Clinical #Diagnosis #Management ... Stye #Chalazion #Comparison ... #Table
COPD phenotypes:  Blue Bloaters vs. Pink Puffers
The two most stereotypical forms of COPD are pink
Puffers The two most ... persistently increased work ... life-threat is increased work ... increase in the work ... #BlueBloaters #Comparison
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Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
obstruction • COPD ... diuretics P - Post-hypercapnea ... nickmmark #acidbase #workup ... #algorithm #diagnosis