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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Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
Central distribution ... and cardiogenic pulmonary ... Diagnosis #Radiology #Pulmonary ... HRCT #ChestCT #Differential ... #Table #Distribution
Pain Assessment and Management Initiative (PAMI) - Nerve Blocks - Nerve Distribution, Agents and Dosing Table
Blocks - Nerve Distribution ... Agents and Dosing Table ... Management #Pain #Pharmacology ... Nerve #Blocks #Medications ... Doses #Dosing #Table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
etiology of shock β€’ Distributive ... Pericardial tamponade, Pulmonary ... vasoactive drug pharmacology ... hasankazmi01 #Vasopressors ... management #comparison #table
Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Blood Pressure, Pulmonary ... mcg/min Pure Vasopressors ... #Properties #Table ... #Pharmacology #
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Common Vasopressors ... - Indication: Distributive ... Cardiac ischemia #Vasopressors ... Inotropes #comparison #table ... #pharmacology #
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and ... Ang II" - Sepsis/distributive ... summary #comparison #table ... #pharmacology # ... indications
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
- Aspiration - Pulmonary ... Diagnosis #Radiology #Pulmonary ... HRCT #ChestCT #Differential ... #Table #Distribution
Hyperkalemia - Differential Diagnosis - Impaired Excretion vs Redistribution

Impaired Urinary Excretion 
 - Renal failure
 -
Hyperkalemia - Differential ... Impaired Excretion vs Redistribution ... Rhabdomyolysis Medications ... #Hyperkalemia #Differential ... #Diagnosis #Table
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Hypotension / Shock Differential ... valvulopathy β€’ Pulmonary ... obstruction β€’ Pulmonary ... hypertension Distributive ... pancreatitis β€’ Medication
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Intractable vomiting Distributive ... flow) - Massive pulmonary ... DrEricStrong #Shock #Differential ... Classification #Table