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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Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... #inopressors #diagnosis ... #management #comparison ... #table
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Generally thought of as ... MICU, often used as ... criticalcare #summary #comparison ... #table #pharmacology ... #indications
Altitude Sickness: Acute Mountain Sickness (AMS), High Altitude Cerebral Edema (HACE) and High Altitude Pulmonary Edema
Mountain Sickness (AMS ... High Altitude Pulmonary ... Edema (HAPE) Clinical ... #HACE #HAPE #Diagnosis ... #Comparison #Table
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Cardiac Tamponade, Pulmonary ... Obstruction (HOCM, critical ... AS), Dynamic Hyperinflation ... thyrotoxicosis), Medications ... #diagnosis #differential
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
Infarction and Pulmonary ... chest pain, such as ... Pericarditis #Symptoms #Signs ... #Presentation #comparison ... #Table #Diagnosis
β–Ί
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... glass attenuation as ... #Clinical #Radiology ... #Differential #Comparison ... #Table #RadiologyAssistant
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
pathophysiology CLINICAL ... oscillations - Sign ... indicate: - Shock ... interpretation #patterns #diagnosis ... #pulmonary
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
cardiomyopathy β€’ Pulmonary ... Clinical β€’ Under-recognized ... Pts: cardiogenic shock ... during Delivery β€’ Stable ... defibrillator as