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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Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 β€’ Regular: Sinus Bradycardia, AFib w/ AV
Bradycardia - Differential ... Framework and Management ... PADS ON!! ... #Differential # ... #cardiology #criticalcare
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
), Symptomatic bradycardia ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison #table ... #pharmacology #indications
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) ... sedative & pain medication ... SarahFoohey #bradycardia ... #diagnosis #differential ... #management #cardiology
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
Shock - Differential ... Bradyarrhythmias β€’ Sinus bradycardia ... depletion - Medication ... #Syncope #Differential ... Classification #Table
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 β€’ Tracheobronchial:
Massive Hemoptysis - Differential ... over 24 hours Differential ... : 1) Indications ... Massive #Hemoptysis #Differential ... #pulmonary #criticalcare
Glaucoma - Emergency Department Management
- All patients should get emergency ophthalmologic consultation
- Start with eye drops
Emergency Department Management ... eye drops (see table ... and add systemic medications ... blocker) - Topical meds ... #Table
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Failure, Toxins/Medications ... Sophia_Hayes_MD #Shock #Differential ... #Diagnosis #criticalcare ... algorithm #treatment #management
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
spleen, brain) Indications ... course β€’ Adjust antibiotics ... β€’ Aggressive management ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 β€’ If low preload β†’
Injury (AKI) - Management ... Foley β€’ UTI β†’ Antibiotics ... Foley catheter β€’ Medications ... β†’ Stop meds β€’ ... Injury #treatment #management
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
: Rate/Rhythm (bradycardia ... thyrotoxicosis), Medications ... Shock #diagnosis #differential ... guyton #curves #criticalcare