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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Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (Β± cirrhosis)
Acute-on-Chronic Liver ... Failure (ACLF) Clinical ... those with CLD (Β± cirrhosis ... months without treatment ... #Failure #Cirrhosis
Cirrhotic liver on Ultrasound. 

Irregular contour (multinodular, regeneration nodules ): comparison macroscopic vision and ultrasound

Dr. Gonzalo
Cirrhotic liver ... on Ultrasound. ... CasasolaGarcia #Liver ... #Cirrhotic #Cirrhosis ... #Clinical
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Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... β€’ Obstructive: Pulmonary ... Dehydration Shock Treatment ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 β€’ Stand at foot of bed
 β€’ Introduce yourself
RRT leader β€’ Ask ... β€’ Concise one-liner ... Orders placed, treatments ... RRT #Management #treatment ... #criticalcare
Cirrhosis, ascites, edematous gallbladder wall and a gallstone on Abdominal Ultrasound - POCUS 

Dr. J. Christian
Cirrhosis, ascites ... gallstone on Abdominal Ultrasound ... jchristianfox #Cirrhosis ... #Liver #Gallbladder ... #POCUS #Clinical
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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
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Troponin, Lactate, Liver ... in cardiogenic pulmonary ... hypoperfusion, no pulmonary ... (no B-lines on ultrasound ... Revascularization, treatment
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Setup - Ultrasound ... Tamponade - Pulmonary ... Management #Summary #criticalcare ... #treatment #workup
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 β€’
Diuresis in Critical ... de-escalation) phases of critical ... increased by 1.19x per liter ... aldosterone states (CHF, Cirrhosis ... Balance #management #criticalcare
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
of orthodeoxia CLINICAL ... β€’ Stigmata of cirrhosis ... the left heart TREATMENT ... only definitive treatment ... Hepatopulmonary #Syndrome #cirrhosis