Dr. Gerald Diaz @GeraldMD
29.7M 13.9K 7.3K
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
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Shock - Differential ... Insufficiency, Liver ... β€’ Obstructive: Pulmonary ... #Diagnosis #criticalcare ... #algorithm #treatment
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 β€’ Defect in fetal free fatty acid metabolism products β†’
Acute Fatty Liver ... Antithrombin Ill β€’ Ultrasound ... infiltration) Differential ... Maternal Support - Critical ... hepatology #obstetrics #obgyn
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
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
Postpartum Hemorrhage - Differential ... Oxytocin 40 IU in 1 liter ... unresponsive to usual treatment ... compression (using ultrasound ... Management #obstetrics #obgyn
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
- Ferritin, liver ... function tests - Ultrasound ... suspected Adiunctive treatments ... lab-confirmed influenza, pulmonary ... Checklist #Management #CriticalCare