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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Treatment of Alcohol Use Disorder

Treatment options for AUD include psychosocial treatment and medications. Individualize based on
Treatment of Alcohol ... and medications ... pills/day) β€’ Dose ... CarolynAChan #Alcohol ... #Management #AUD
Pearls for Treatment of Alcohol Use Disorder

First-line pharmacotherapies for moderate to severe AUD include naltrexone and
of Alcohol Use ... respectively) at the doses ... #UseDisorder #Management ... #Treatment #AUD ... Screening #Addiction #Medications
Suspected catheter-related bloodstream infection - Management Algorithm
 β€’ Temperature 37.8 C   β€’ Rigors
Antibiotic Management ... Hemodynamically stable ... Antibiotic Management ... after treatment ... Algorithm #CRBSI #diagnosis
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 β€’ Decompensated cirrhosis
 β€’ Typically with existing
Hepatorenal Syndrome - Diagnosis ... and Management ... a precipitant: Medications ... , Alcohol abuse, ... #Management #treatment
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism Treatment ... - Indications ... 2% risk of ICH and ... #AcutePE #Management ... #CriticalCare
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
- Medications ... - Loop and ... dysfunction - Alcohol ... #Differential #Diagnosis ... Low #Magnesium #Table
Scleritis, Episcleritis Pearls
-Scleritis is characterized by significant pain, pain with eye movement, vision loss, and vessels
-Management of scleritis ... steroids +/- topical antibiotics ... does not require ... acute treatment ... #Diagnosis #Ophthalmology
Management of Serotonin Syndrome
Identify and stop all serotoninergic medications
 β€’ Avoid inadvertent Rx of serotoninergic meds
Management of Serotonin ... serotoninergic medications ... serotoninergic meds ... : 12mg loading dose ... #treatment #toxicology
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 β€’ If low preload β†’
Injury (AKI) - Management ... nephrostomy tube(s) and ... Foley β€’ UTI β†’ Antibiotics ... β†’ Stop meds β€’ ... #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Review of medication ... pain-dose ketamine ... limit them as able ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare