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
pressor added in shock ... Inotropes #management #criticalcare ... #summary #comparison ... #table #pharmacology ... #indications
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Failure, Toxins/Medications ... β€’ Obstructive: Pulmonary ... Treatment Goals ... #criticalcare #
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
on scores and clinical ... Hemodynamics (Stable ... Transient Hypotension, Shock ... prognostication #diagnosis ... stratification #criticalcare
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... Cardiac Tamponade, Pulmonary ... thyrotoxicosis), Medications ... #diagnosis #differential ... guyton #curves #criticalcare
TRALI vs TACO - Transfusion Reactions
TRALI:
 β€’ Epidemiology: 0.1% of transfused patientsl
 β€’ Risk factors: Critical
Risk factors: Critical ... : 33% β€’ Treatment ... , and CXR with pulmonary ... Reactions #hematology #diagnosis ... #comparison #table
Altitude Sickness: Acute Mountain Sickness (AMS), High Altitude Cerebral Edema (HACE) and High Altitude Pulmonary Edema
High Altitude Pulmonary ... Edema (HAPE) Clinical ... Elevation, Timing, Treatment ... AMS #HACE #HAPE #Diagnosis ... #Table
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 ... support for patients clinically ... management #cardiology #treatment
Toxic Alcohol Ingestion: Clinical Features, Diagnosis, and Management
Methanol intoxication:
 β€’ Accidental or intentional ingestion of adulterated
Alcohol Ingestion: Clinical ... Features, Diagnosis ... #toxicology #comparison ... #table #management ... #treatment
IDSA Recommendations for Treating Mycobacterium Tuberculosis Infection and Disease in HIV-AIDS
Treating LTBI (to prevent TB disease)
Indications:
prevent TB disease) Indications ... and molecular diagnostic ... HIV-infected persons with clinical ... Please refer to the table ... infections #HIVAIDS #pharmacology