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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shock differential aclf aki cardiogenic cardiology checklist chf chronic cirrhosis criticalcare emergencies failure gastroenterology heartfailure hematology hemophagocytic hepatology hlh hypertension
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... months without treatment ... Brain Failure Lung ... gastroenterology #management ... #diagnosis
Outpatient Hypertension Management Algorithm Monotherapy: • Thiazide/thiazide-like • ACE-I (non-black patients), • ARB
Outpatient Hypertension Management ... Algorithm Monotherapy ... ARB • CCB (long ... Coronary Syndrome ... Amy Chung, MD, MSc
Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
Streptococcal Toxic Shock Syndrome ... (2+): kidneys, liver ... , lung/ARDS, coagulopathy ... #STSS #treatment ... #management #diagnosis
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
- Differential Diagnosis ... Insufficiency, Liver ... Abdominal compartment syndrome ... #criticalcare #algorithm ... #treatment #management
Acute Kidney Injury (AKI) - Management Principles Prerenal - Correct hemodynamic derangements: • If low preload →
Acute Kidney Injury ... (AKI) - Management ... • Hepatorenal syndrome ... Treat underlying liver ... #management
Orthopedic Emergencies Compartment Syndrome • An increase in compartment pressure to the point where tissue perfusion is
days after an acute ... • Diagnosis: ... including DM • Treatment ... #Emergencies #diagnosis ... #management #treatment
Hemophagocytic Lymphohistiocytosis (HLH) Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
Overwhelming clinical syndrome ... presents as an acute ... lymph node, or liver ... • Bicytopenia Treatment ... #management #treatment
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... Then, ask 3 questions ... demyelination syndrome ... include vaptans (HF/liver ... #Treatment #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Cardiogenic Shock - Management ... Troponin, Lactate, Liver ... 1 — Treat the lungs ... (no B-lines on ultrasound ... Revascularization, treatment
Syphilis - Clinical Manifestations and Treatment 1) Primary Syphilis • Direct lesion contact during sex is responsible
Albuminuria, nephrotic syndrome ... , or acute nephritis ... ulcerated • MSK ... Syphilis #stages #diagnosis ... #management #Treatment
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