Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Causes of Hyporeflexia ... , Acute spinal cord ... Hyperreflexia #Testing ... #diagnosis #table
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... CARDIOGENIC (Cold ... venous return/ventricular ... #Classification ... warm #wet #dry #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Diagnosis by Classification ... Anaphylaxis - Spinal cord ... exacerbation (any cause ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Algorithm for the Management of Ventricular Tachycardia Electrical Storm
ES diagnosed (β‰₯ 3 episodes of VT/ICD therapies
Algorithm for the ... Management of Ventricular ... cardioversion as per ACLS ... cardioversion Stable ... of reversible causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
develop in the setting ... Ext: warm vs. cold ... #Classification ... #differential #causes ... #classification
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
Shock - Differential ... Diagnosis by Classification ... Tachyarrhythmias β€’ Ventricular ... Differential #Diagnosis #Classification ... #Table #Causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
develop in the setting ... Ext: warm vs. cold ... #Classification ... #differential #causes ... #classification
Cardiac Stress Testing
Exercise:
 β€’ Everyone who can exercise should!
 β€’ They must be able to raise
Cardiac Stress Testing ... β€’ They must be able ... production to cause ... pts with severe COPD ... Contraindications: Pts with ventricular
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Ventricular Fibrillation ... AED no shock advised ... Prehosp ACLS-Asystole ... While getting 12 ... RJonesSonoEM #Ventricular
β–Ί
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Ventricular Fibrillation ... AED no shock advised ... Prehosp ACLS-Asystole ... While getting 12 ... RJonesSonoEM #Ventricular
β–Ί