Dr. Gerald Diaz @GeraldMD
39.5M 14.2K 7.5K
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 Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
- Differential Diagnosis ... Renal ultrasound, Tests ... sodium loading test ... #Differential #Diagnosis ... #Workup #table
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
class (30-day all cause ... Hemodynamics (Stable ... prognostication #diagnosis ... #management #stratification ... #criticalcare #
Sensitivity is the proportion of truly diseased persons in the screened population who are identified as
will correctly diagnose ... a case, or the ... that any given case ... implies being able ... #Calculation #Table
β–Ί
Extubation Checklist Mnemonic - MASCOTS
M - Mechanism (Underlying mechanism improving)
A - Airway (Patent, difficult intubation)
S -
Oxygenation (O2 stable ... - Tube feeds (Pause ... (Sedation off, passes ... Mnemonic #MASCOTS #criticalcare ... #management
Multiple masses
The differential diagnostic list of multiple masses is very long.
The most important diagnoses are listed
Multiple masses ... The differential diagnostic ... most important diagnoses ... listed in the table ... #Management #Radiology
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
- Differential Diagnosis ... exacerbation (any cause ... #Differential #Diagnosis ... Classification #Table ... #CriticalCare
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - Management ... Angina Stress Test ... evaluation or management ... Angina #ChestPain #Diagnosis ... #Management #Algorithm
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember β€œMUGR” to recall where
β€’ If stable ... DC with orthopedic ... β€’ Nonoperative managernent ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Abdominal Pain - Differential Diagnosis According to Localization of Abdominal Pain 

Abdominal pain can originate from
- Differential Diagnosis ... extra-abdominal causes ... abdominal pain (Table ... #Localization #Causes ... GrepMed Recommended Text
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... Examine for a cause ... Obstructive 4) Diagnosis ... #Hypotension #Management ... #criticalcare #