Dr. Gerald Diaz @GeraldMD
23.1M 13.8K 7.2K
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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28 results
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 ... Pelvis sag of RUSH ... Diagnosis? ... clinical #Abdominal #Ultrasound
β–Ί
GI Bleed Checklist

History, 
Exam, Labs, Access, Coagulation status, 
Medications, 
Interventions

#Diagnosis #Management #Gastrointestinal #GIBleed #Checklist #CriticalCare
Exam, Labs, Access ... Interventions #Diagnosis ... #Management #Gastrointestinal ... GIBleed #Checklist #CriticalCare
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 β€’ Tracheobronchial:
- Differential Diagnosis ... Differential Diagnosis ... Parenchymal: PNA, Abscess ... #Differential #Diagnosis ... #criticalcare
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 ... Obstructive 4) Diagnosis ... #Hypotension #Management ... #criticalcare #
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... Cardiac, Neuro 4) Diagnose ... Hypoxemia #Dyspnea #Management ... #criticalcare #
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
β€’ Myocardial abscess ... β€’ Aggressive management ... arthritis, splenic abscess ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 β€’ Stand at foot of bed
 β€’ Introduce yourself
RRT leader β€’ Ask ... Assessment: β€’ Ask ... β€’ Confirm IV access ... Response #Team #RRT #Management ... #treatment #criticalcare
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Establish IV/IO Access ... Setup - Ultrasound ... #criticalcare #
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember β€œMUGR” to recall where
dislocation; remember, assess ... β€’ Nonoperative managernent ... Radiology #XRay #Diagnosis ... #Management #Orthopedics ... #Proximal #MSK
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... - RUQ ultrasound ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare