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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Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver ... β€’ Obstructive: Pulmonary ... #Diagnosis #criticalcare ... #algorithm #treatment
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Classification and Differential ... Insufficiency, Liver ... , CVP > 12 β€’ Pulmonary ... Classification #Differential ... Diagnosis #Types #criticalcare
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
False Positive Lung Point on POCUS
Lung-Cardiac Point and Lung-Diaphragm Point
These images highlight selected differentials to pleural
highlight selected differentials ... LungPoint #POCUS #clinical ... lungdiaphragam #ultrasound ... #pulmonary #differential
β–Ί
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 β€’ Defect in fetal free fatty acid metabolism products β†’
Acute Fatty Liver ... hepatocytes β†’ Liver ... Antithrombin Ill β€’ Ultrasound ... infiltration) Differential ... Maternal Support - Critical
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... Cardiac Tamponade, Pulmonary ... neuraxial anesthesia), Liver ... Shock #diagnosis #differential ... guyton #curves #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 ... #pocus #clinical
β–Ί
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
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... approach to the differential ... Treatment: Treatment ... include vaptans (HF/liver ... #Hyponatremia #Differential
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