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
Drugs 1) Determine ... pharmacology ... #pharmacology # ... diagnosis #management #comparison ... #table
Angiotensin Receptor Blocker (ARB) Antihypertensive Dose Comparison

#Pharmacology #Angiotensin #Receptor #Blocker #ARB #Conversion #Table #Dose #Dosages

** GrepMed
Antihypertensive Dose Comparison ... #Pharmacology ... #Blocker #ARB #Conversion ... #Table #Dose #Dosages ... Text: Clinical Pharmacology
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
Shock - Findings ... DrEricStrong #Shock ... #Differential # ... Classification #Table ... Symptoms #Findings #Comparison
Angiotensin Receptor Blockers 
Recommended Dose Conversions 

Valsartan 
Irbesartan 
Losartan 
Olmesartan 
Telmisartan 
Candesartan 
Azilsartan 
Eprosartan 

A few
Recommended Dose Conversions ... dose of another drug ... recalls, this drug ... #Table #Dosing ... #Pharmacology #Dose
Drugs Implicated in Hemolytic Anemia
 β€’ Hapten (Drug binding to RBC membrane): Penicillin, Cephalosporin, Tetracycline, Tolbutamide,
Drugs Implicated ... Anemia β€’ Hapten (Drug ... Hemolytic #Anemia #differential ... #diagnosis #pharmacology ... #table
The RIGID patient: tetanus mimics
 - Serotonin Syndrome
 - Neuroleptic Malignant Sx
 - Malignant Hyperthermia
 -
Hyperthermia - Drug-induced ... tetanus #mimics #comparison ... #table #rigidity ... rigid #patient #differential
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... ), Cardiogenic shock ... , Shock where ↑ ... Vasopressors #Inotropes #comparison ... #table #pharmacology
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... adrenal crisis, drugs ... #Differential # ... Diagnosis #table ... #comparison #criticalcare
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... in setting of shock ... criticalcare #summary #comparison ... #table #pharmacology
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Cystic #Cysts #Differential ... #Comparison #Table ... #RadiologyAssistant