Dr. Gerald Diaz @GeraldMD
48.6M 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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Intraoperative Thompson Test - Assessing the Achilles’ tendon following a surgical repair for rupture. The calf
Intraoperative Thompson ... the examination table ... #Intraoperative ... physicalexam #surgery #msk ... tendon #ankle #orthopedics
β–Ί
Hypotension - Rapid Response Management

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

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... Cardiac, Neuro 4) Diagnose ... the underlying cause ... #criticalcare #
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
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 #
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... as patient is stable ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 β€’ Flow 6-10 LPM
 β€’ FiO2 35-50%
Face Tent:
Mask Oxygen Delivery ... FiO2 35-50% Face Tent ... uses a small valve ... Delivery #Devices #management ... #pulmonary #criticalcare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... Liver function test ... limit them as able ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
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