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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High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
β€’ Can occur with deliberate or accidental
β€’ In obstetrics ... is obstetric, consider ... Consider other causes ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
Guidelines for Crises ... until patient is stable ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Positive Varus Stress Test in LCL Injury

Interesting knee injury in a young basketball player who landed
Positive Varus Stress Test ... injury, we are able ... his exam under anaesthesia ... PhysicalExam #Sports #Orthopedics ... collateral #ligament #msk
β–Ί
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... as a possible cause ... as patient is stable ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember β€œMUGR” to recall where
β€’ If stable ... DC with orthopedic ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Proximal #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... Discharge with orthpedic ... Radiology #XRay #Diagnosis ... #Management #Hand ... #Orthopedics #MSK
Thrombocytopenia and Pregnancy
Three syndromes in the critically ill pregnant woman who presents with coagulation defects.
1) HELLP
Elevated Liver tests ... child * Severe cases ... #HELLP #AFLP #Obstetrics ... OBGyn #Hematology #Diagnosis ... #Comparison #Table
Thrombocytopenia and Pregnancy - TTP/HUS, HELLP Syndrome and Acute Fatty Liver of Pregnancy (AFLP)
Three syndromes in
Elevated Liver tests ... child * Severe cases ... #HELLP #AFLP #obstetrics ... #hematology #diagnosis ... #table #comparison
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia

❢ Call for help and inform theatre
oxygen and face mask ... Consider other causes ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 β€’ ABCs! 
 β€’ Fluids +
coagulopathy Pregnancy test ... pregnancy related cause ... Hemodynamically stable ... Uterine #Bleeding #Management ... #Obstetrics #Gynecology