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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16 results
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
- Differential Diagnosis ... ultrasound, Tests ... ; MRA; abdominal ... β€’ Obstructive ... Screening #Workup #table
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
and Differential Diagnosis ... hypovolaemia and obstruction ... investigations depending on clinical ... biopsy β€’ Abdominal ... #Differential #Diagnosis
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
- Differential Diagnosis ... dehydration due to renal ... , S3, crackles Obstructive ... #table #comparison ... #criticalcare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
: cardiogenic, obstructive ... (HOCM, critical ... albumin, trauma), Renal ... Undifferentiated #Shock #diagnosis ... guyton #curves #criticalcare
Emphysematous Cystitis
Epidemiology:
 β€’ Usually middle-aged diabetic women
 β€’ Other RF: neurogenic bladder, urinary tract outlet obstruction,
urinary tract outlet obstruction ... immune compromise Clinical ... Abdominal or flank ... consider KUB or abdominal ... ultrasound as initial
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... depressed) β€’ Renal ... vomiting/diarrhea), renal ... Classification #diagnosis ... management #Overview #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... depressed) β€’ Renal ... vomiting/diarrhea), renal ... Classification #diagnosis ... management #Overview #criticalcare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
management - RUQ ultrasound ... increase the risk of abdominal ... limit them as able ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Small Bowel Obstruction (SBO) on POCUS

A patient came into our ED with abdominal pain... within 5
Small Bowel Obstruction ... into our ED with abdominal ... hitting the door a diagnosis ... #SBO #Abdominal ... #Ultrasound #clinical
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Urothelial Thickening on Renal POCUS
Teenager (female) with flank pain and fever.  POCUS to evaluate for
Thickening on Renal ... to evaluate for obstructive ... Findings/diagnosis ... #POCUS #clinical ... #ultrasound
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