Dr. Gerald Diaz @GeraldMD
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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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21 results
Shock Types and Classification
DISTRIBUTIVE 66%
 β€’ Sepsis/SIRS, anaphylaxis, adrenal insufficiency, liver failure, toxins, spinal/neurogenic
 β€’ Warm
insufficiency, liver ... Classification #diagnosis #differential ... #criticalcare
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Classification and Differential ... Insufficiency, Liver ... Classification #Differential ... Diagnosis #Types #criticalcare
Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... Contrast Enhanced Ultrasound ... , Metastasis #Liver ... Lesions #Hepatic #Ultrasound ... POCUS #radiology #differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver ... Sophia_Hayes_MD #Shock #Differential ... #Diagnosis #criticalcare
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 β€’ Defect in fetal free fatty acid metabolism products β†’
Acute Fatty Liver ... hepatocytes β†’ Liver ... malaise) β†’ Acute liver ... Antithrombin Ill β€’ Ultrasound ... infiltration) Differential
Causes of Gallbladder Wall Thickening - Differential Diagnosis
 β€’ Physiologic: Contracted gall bladder in a non-fasting
Wall Thickening - Differential ... heart failure, Liver ... Gallbladder #Thickening #Differential ... radiology #POCUS #ultrasound
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€’ Concise one-liner ... completed β€’ Ask ... Management #treatment #criticalcare
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
gas on hepatic ultrasound ... reflection on the differential ... portal #venousgas #ultrasound ... #hepatology #liver
β–Ί
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
management - RUQ ultrasound ... Triglyceride level - Liver ... Diagnosis #Management #CriticalCare
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 β€’ Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Clearance: Systemic liver ... Lactic #Acidosis #Differential ... #Diagnosis #criticalcare