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
 -
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
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
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 ... guyton #curves #criticalcare
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
Empyema on Lung on Point of Care Ultrasound

Don't be fooled by empyema masquerading as liver! 

by
Point of Care Ultrasound ... masquerading as liver ... empyema #Lung #pulmonary ... #clinical #ultrasound ... #pocus #hepatized
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Pulmonary Embolism on POCUS Echocardiogram

S/p mitral repair and MAZE. Hypotensive dyspneic, lightheaded.
Bedside U/S expediting diagnosis treatment
Pulmonary Embolism ... on POCUS Echocardiogram ... expediting diagnosis treatment ... - VCU Ultrasound ... Embolism #AcutePE #POCUS
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Air Bronchograms in Pneumonia on Lung Ultrasound

Pearl: When lung looks like liver, it's never a good
Pneumonia on Lung Ultrasound ... lung looks like liver ... Pneumonia #Lung #Ultrasound ... #clinical #pocus ... #Pulmonary
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Blastomycosis Summary

Pathogen: 
 β€’ Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii.
 β€’ The fungus lives
β€’ The fungus lives ... The Disease: β€’ Pulmonary ... adjacent to the focus ... serum/urine Treatment ... diagnosis #management #treatment
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