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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diagnosis anesthesia anesthesiology checklist intraoperative differential clinical criticalcare pocus algorithm hepatology treatment gastroenterology liver obgyn primarycare screening secondary shock abcde
Pelvic Intraabdominal Abscess on POCUS Fever, low BP with lower abd pain x 8 days-worsening. WBC-28.9K. Pelvis
Pelvic Intraabdominal ... Abscess on POCUS ... appendicitis with intra-abdominal ... #clinical #Abdominal ... #Ultrasound
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 Causes of Low Back Pain - Differential Diagnosis Intrinsic Spine: Lumbar strain, Herniated nucleus pulposus, Compression fracture,
Causes of Low Back ... • Vascular - abdominal ... herpes zoster; • Pelvic ... Differential #Diagnosis #causes ... #primarycare #msk
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
disease - Renal ultrasound ... Duplex Doppler ultrasound ... ; MRA; abdominal ... scan of abdomen/pelvis ... #Screening #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
or iatrogenic causes ... pericardiocentesis, re-assess ... Plan definitive management ... Checklist #Diagnosis #Management ... #Workup
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 ... Diagnosis and Workup ... #Hypotension #Management
There are multiple sites in which IO access can be obtained Proximal humerus – insert about 1
sites in which IO access ... those involving abdominal ... and bypass the pelvic ... and abdominal vessels ... Lines #Locations #Management
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
gas on hepatic ultrasound ... ischemia, perforated peptic ... ileus), intra-abdominal ... variety of other causes ... portal #venousgas #ultrasound
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 Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Establish IV/IO Access ... Setup - Ultrasound ... and Survey 4) Workup ... Shock #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... devices could have caused ... central and arterial access ... Discuss ongoing management ... #Workup
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia is usually caused ... Then, ask 3 questions ... to work through ... Assess volume status ... Diagnosis #Treatment #management
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