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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17 results
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Cost - Cost per test ... enzymes, Head CT ... Cardiac stress test ... Effectiveness #table ... #comparison
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
β€’ Hypovolemic: Bleeding ... inopressors #diagnosis #management ... #comparison #table
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - Management ... Algorithm for patients ... Stress Test ... evaluation or management ... #Algorithm #Cardiology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
) - Diagnostic Algorithm ... pregnant or breast feeding ... Check pregnancy test ... workup choices AND management ... Hyperthyroid #Diagnosis #Algorithm
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... gastrointestinal bleeding ... water #Shock #Classification ... Types #diagnosis #management ... warm #wet #dry #table
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
β€’ Uncommon but life-threatening
β€’ Most common site of bowel connection
Diagnosis and Management ... the OR β€’ HD stable ... β€’ CT findings ... Management: SURGERY ... Fistula #Diagnosis #Management
Perioperative Management of DOACs
Problem:
 βœ– Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... available lab test ... per treatment table ... and procedural bleeding ... with a very low bleeding
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 β€’ ABCs! 
 β€’ Fluids +
Abnormal Uterine Bleeding ... coagulopathy Pregnancy test ... Hemodynamically stable ... Abnormal #Uterine #Bleeding ... #Management #Obstetrics
Efforts to standardize the approach to trauma have led to an algorithmic, thoughtless approach to trauma
have led to an algorithmic ... over-utilizes CT ... trauma patients, CT ... fantastically useful test ... #Management #Trauma
Comparison of Fever Algorithms for Infants <3 months old

AGE, INCLUSION, TESTS 
REQUIRED, "LOW RISK" CRITERIA, TREATMENT,
Comparison of Fever ... Algorithms for ... AGE, INCLUSION, TESTS ... #EBM #Fever #Algorithm ... #Comparison #Table