Dr. Gerald Diaz @GeraldMD
39.6M 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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Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Drugs 1) Determine ... Pericardial tamponade, Pulmonary ... pharmacology ... #pharmacology # ... management #comparison #table
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... a.k.a. neurogenic shock ... flow) - Massive pulmonary ... #Differential # ... Classification #Table
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
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
Shock - Differential ... adrenal crisis, drugs ... uw_IMresidency #Shock ... #Differential # ... Diagnosis #table
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial ... or the type of shock ... severe cardiogenic shock ... #NormalValues #Differential ... #Table #Chambers
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... hemorrhage) - Pulmonary ... exacerbation) - Drugs ... #Hyponatremia #Differential ... #Diagnosis #Table
Approach to Eosinophilic Lung Diseases
 β€’ Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
Fever, wheezing β€’ Drug ... antibiotics, illicit drugs ... Lung #Diseases #pulmonary ... #differential # ... diagnosis #comparison #table
Pharmaceutical agents other than olmesartan have been reported to cause villous atrophy on occasion and are
are listed in Table ... frequent cause of drug-induced ... #Pharmacology #Drugs ... #Medications #Differential
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... cardiomyopathy β€’ Pulmonary ... Pts: cardiogenic shock ... during Delivery β€’ Stable
Drug-induced Hemolysis in G6PD Deficiency
Medicines and other substances likely to be UNSAFE in moderate to severe
Drug-induced Hemolysis ... DrugInduced #Hemolysis #Pharmacology ... #Differential # ... Diagnosis #Table