Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 β€’ Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... Bowel Overgrowth (SIBO ... Gastric Outlet Obstruction ... Dyssynergia Diagnostics ... #Diagnosis #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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Diagnosis Framework ... Arrhythmia β€’ Obstructive ... Severe auto-PEEP, Abdominal ... #criticalcare #algorithm ... #treatment #management
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
intuitive way to use ultrasound ... , based on clinical ... #Diagnosis #POCUS ... Evaluation #Protocol #Algorithm ... #Cardiogenic #Obstructive
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
, Distributive Shock ... Artery Stenosis, Abdominal ... Post-Renal: β€’ Obstruction ... #nephrology #causes ... #algorithm
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Setup - Ultrasound ... and Reverse β€’ Obstructive ... #Diagnosis #Management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... : hypotension (SBP ... Classification #diagnosis ... #management #Overview ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... : hypotension (SBP ... Classification #diagnosis ... #management #Overview ... #differential #causes
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
- Differential Diagnosis ... disease - Renal ultrasound ... ; MRA; abdominal ... β€’ Obstructive ... #Workup #table
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
on scores and clinical ... class (30-day all cause ... Transient Hypotension, Shock ... prognostication #diagnosis ... #management #stratification
 Acute Iron Poisoning

There are five classically described phases of toxicity:
Gastrointestinal phase (~6 hours post-ingestion)
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mucosal injury - Abdominal ... pain, nausea, vomiting ... necrosis Bowel Obstruction ... Toxicity #Toxicology #Diagnosis ... #Management #Ferrous