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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9 results
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis ... valvulopathy β€’ Pulmonary ... embolism β€’ Left ... pancreatitis β€’ Medication ... #causes
Acute Hypoxemia - Differential Diagnosis
 β€’ Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia - Differential ... Embolism, Pneumothorax ... Embolism, Emphysema ... Pressure Vent, pHTN, Shock ... #Diagnosis #causes
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... exacerbation (any cause ... flow) - Massive pulmonary ... embolism - Pericardial ... Classification #Table
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 ... Transient Hypotension, Shock
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
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... amniotic or fat embolism ... thyrotoxicosis), Medications ... #diagnosis #differential
Left Ventricular Hydatid Cyst on Echocardiogram (A4C)
Illustrative echo-first image showing a large hydatid cyst in the
Hydatid Cyst on Echocardiogram ... Pulmonary embolism ... , anaphylactic shock ... May also cause outflow ... #A4C #clinical
β–Ί
Cardiac Tamponade on Echocardiogram in Slow Motion (PLAX)
EchoProTip: Does this patient has a potentially hemodynamically compromising
Cardiac Tamponade on Echocardiogram ... large pericardial effusion ... Hemodynamically stable ... tamponade of shock ... #echocardiogram
β–Ί
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... cardiomyopathy β€’ Pulmonary ... embolus 3. ... Pts: cardiogenic shock