Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
Treatment depends ... maintained fever CAUSES ... • Serotonin syndrome ... #Differential #Causes ... Checklist #Diagnosis #Management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... consistent with pulmonary ... detected on CT or CXR ... the underlying cause
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
trolley, anaphylaxis treatment ... arrest, start CPR ... as patient is stable ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
indicated, start CPR ... thoracotomy is a better treatment ... Plan definitive management ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... low attenuation (table ... is interstitial lung ... seen and in many cases ... Diagnosis #Radiology #Pulmonary
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
Syndrome caused ... globules in the lung ... progresses to anaesthesia ... including DM • Treatment ... #treatment
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
lucencies within the lung ... since in many cases ... visible wall #CXR ... #Differential #Table ... #Pulmonary #Diagnosis
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Cirrhosis Syndrome ... carcinoma of the lung ... hemorrhage) - Pulmonary ... Differential #Diagnosis #Table ... #Causes #Sodium
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Next Steps: BS, CXR ... DDx: Obstructive lung ... Treat underlying cause ... Troubleshooting #diagnosis #management ... #pulmonary #mechanical
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
Guidelines for Crises ... ensure adequate lung ... Start continuous CPR ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management