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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management diagnosis shock differential pocus radiology alveolar alveolaredema cardiology checklist cxr edema lung orthopedics physicalexam radiologyassistant summary syndrome acutepe air
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Insufficiency, Liver ... Decompensated CHF ... • Obstructive: Pulmonary ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Insufficiency, Liver ... Decompensated CHF ... , CVP > 12 • Pulmonary ... Diagnosis #Types #criticalcare
Navigating a Rapid Response Team (RRT) Assert Leadership: • Stand at foot of bed • Introduce yourself
RRT leader • Ask ... • Concise one-liner ... Orders placed, treatments ... RRT #Management #treatment ... #criticalcare
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Troponin, Lactate, Liver ... in cardiogenic pulmonary ... (no B-lines on ultrasound ... Revascularization, treatment ... #Checklist #CHF
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... exacerbation (cardiogenic pulmonary ... patients (ie., CHF ... hair) • Risk Of Clinical ... #indications #criticalcare
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... Cardiac Tamponade, Pulmonary ... Obstruction (HOCM, critical ... neuraxial anesthesia), Liver ... guyton #curves #criticalcare
TRALI vs TACO - Transfusion Reactions TRALI: • Epidemiology: 0.1% of transfused patientsl • Risk factors: Critical
Risk factors: Critical ... : 33% • Treatment ... : Age>60, CKD, CHF ... , and CXR with pulmonary ... : No • Treatment
Diuresis in Critical Care - Achieving a Negative Fluid Balance Advantages Of A Negative Fluid Balance: •
Diuresis in Critical ... de-escalation) phases of critical ... increased by 1.19x per liter ... aldosterone states (CHF ... Balance #management #criticalcare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Setup - Ultrasound ... Tamponade - Pulmonary ... Management #Summary #criticalcare ... #treatment #workup
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Diagnosis and Treatment ... Then, ask 3 questions ... Treatment: Treatment ... include vaptans (HF ... /liver disease)
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