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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Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism Treatment ... - Indications ... 2 hrs - Low dose ... #AcutePE #Management ... #CriticalCare
Treatment of Alcohol Use Disorder

Treatment options for AUD include psychosocial treatment and medications. Individualize based on
and medications ... combination with medications ... pills/day) β€’ Dose ... as first line medication ... #Management #AUD
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
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Failure, Toxins/Medications ... #criticalcare # ... algorithm #treatment ... #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€’ ... #management
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 β€’ Decompensated cirrhosis
 β€’ Typically with existing
Hepatorenal Syndrome - Diagnosis ... and Management ... a precipitant: Medications ... Syndrome #HRS #Diagnosis ... #Management #treatment
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
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
Fibrillation RVR - Medications ... of or increased doses ... Fibrillation #AFib #RVR #Medications ... #management #treatment ... #comparison #table
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Review of medication ... Q6hr) and pain-dose ... limit them as able ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 β€’ Calculate absolute PMN count (total WBC x PMN %)
 β€’ Correct
improved outcomes 1) Antibiotics ... Caveats: Arbitrary dose ... risk X Stop if no indication ... #management #prophylaxis ... #treatment