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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Suspected catheter-related bloodstream infection - Management Algorithm
 β€’ Temperature 37.8 C   β€’ Rigors
Antibiotic Management ... Antibiotic Management ... β€’ Persistent fever ... after treatment ... Algorithm #CRBSI #diagnosis
β€œStep by Step” – the new kid on the block – aims to risk stratify this
treatments in this ... CRP < 20 mg/L #Diagnosis ... #Management #Pediatrics ... #Peds #Febrile ... Algorithm #LP #Antibiotics
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
treatment. ... : Pain control, ... open wound, must update ... Radiology #XRay #Diagnosis ... #Management #Hand
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
but rare triad: Fever ... sensory changes, and ... imaging as needed Treatment ... Surgical drainage - Antibiotics ... #management
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Marfans, EDS ... deficit β€’ Shock Treatment ... : i.v. opiates ... Aortic #Dissection #diagnosis ... #management #vascular
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
following: β€’ Fever ... β€’ Bicytopenia Treatment ... antibiotic therapy ... agent are the main ... #management #treatment
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
c deliriogenic meds ... if uncontrolled pain ... or persistent fevers ... sleeping, administer pharmacologic ... Delirium #Checklist #Management
The Febrile Infant Step-by-Step Algorithm
This is an algorithm developed by European emergency physicians to identify low-risk
treatment. http ... 46.9% #Diagnosis ... #EBM #Management ... #Pediatrics #Peds ... Stratification #Fever
Orthopedic Emergencies
Compartment Syndrome
 β€’ An increase in compartment pressure to the point where tissue perfusion is
β€’ Diagnosis: ... - Intense pain ... - Fever, ... - Antibiotic ... #management #treatment
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 β€’ Calculate absolute PMN count (total WBC x PMN %)
 β€’ Correct
if other signs (fever ... , abdominal pain ... improved outcomes 1) Antibiotics ... #management #prophylaxis ... #treatment