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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The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
rely upon rapid seizure ... epilepticus which may cause ... epilepticus may cause ... Management #Neurology #CriticalCare ... #Algorithm #PulmCrit
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
, Distributive Shock ... Compartment Syndrome, Medications ... Protein) β€’ AIN: Medication ... Diagnosis #nephrology #causes ... #algorithm
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
Shock - Differential ... depletion - Medication ... Syncope Mimics - Seizure ... Classification #Table ... #Causes
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 β€’ Focal: Simple, Complex
 β€’ Generalized: Absence,
Causes of Seizures ... Differential Diagnosis Algorithm ... Toxic: Alcohol, Medication ... Eclampsia, Prophyria #Seizures ... #Causes #neurology
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... a.k.a. neurogenic shock ... exacerbation (any cause ... Classification #Table ... #CriticalCare
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Hypotension / Shock ... Differential Diagnosis Algorithm ... pancreatitis β€’ Medication ... Differential #Diagnosis #Algorithm ... #shock #causes
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... Inotropes #management #criticalcare ... summary #comparison #table ... #pharmacology #indications
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... , Shock where ↑ ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table ... #pharmacology #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Failure, Toxins/Medications ... Dehydration Shock ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
class (30-day all cause ... Hemodynamics (Stable ... Transient Hypotension, Shock ... stratification #criticalcare