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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Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... Effusion - Differential ... Malignancy β€’ Pulmonary ... embolism β€’ Collagen ... Post-CABG β€’ Medication
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Causes of Dyspnea ... Diagnosis Algorithm Cardiac ... embolism β€’ Pulmonary ... Pleura: β€’ Pleural effusion ... Diagnosis #Algorithm #Causes
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
valvulopathy β€’ Pulmonary ... embolism β€’ Left ... pancreatitis β€’ Medication ... Obstructive: β€’ Cardiac ... Algorithm #shock #causes
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... on scores and clinical ... class (30-day all cause ... Hemodynamics (Stable ... #Embolism #Risk
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
in blood flow caused ... massive pericardial effusion ... Depends on the cause ... Pulmonary embolism ... Tamponade: pericardial effusion
RV Thrombus on POCUS Echocardiogram in a patient with Pulmonary Embolism

It's a little fuzzy but if
Thrombus on POCUS Echocardiogram ... a patient with Pulmonary ... Embolism It's ... you'll see the cause ... #POCUS #Clinical
β–Ί
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... infarction, following cardiac ... embolism or severe ... pneumothorax, cardiac ... warm #wet #dry #table
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity β€’ Cardiac ... (UPC) ratio β€’ Cardiac ... o infection β€’ Echocardiogram ... LVEF, pericardial effusion ... Goodpasture's cause
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Pneumothorax, Cardiac ... Tamponade, Pulmonary ... Embolism, Outflow ... amniotic or fat embolism ... thyrotoxicosis), Medications
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Vascular Resistance, Cardiac ... Blood Pressure, Pulmonary ... Resistance, Main Uses ... Internet Book of Critical