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 checklist differential algorithm blastomycosis cardiogenic cardiology challenges chf coccidioides coccidioidomycosis comparison curves fluid fungal guyton heartfailure infectiousdiseases
Navigating a Rapid Response Team (RRT) Assert Leadership: • Stand at foot of bed • Introduce yourself
for brief summary ... • Concise one-liner ... Orders placed, treatments ... RRT: • Final summary ... #criticalcare
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Insufficiency, Liver ... • Obstructive: Pulmonary ... Dehydration Shock Treatment ... Differential #Diagnosis #criticalcare ... #algorithm #treatment
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management Summary ... Setup - Ultrasound ... Tamponade - Pulmonary ... #criticalcare # ... treatment #workup
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Shock - OnePager Summary ... essential to determine treatment ... Cardiac Tamponade, Pulmonary ... 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
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
Testing - OnePager Summary ... Pulmonary Artery ... Point of Care Ultrasound ... • PULMONARY A ... testing #diagnosis #criticalcare
Blastomycosis Summary Pathogen: • Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii. • The fungus lives
Blastomycosis Summary ... • The fungus lives ... The Disease: • Pulmonary ... serum/urine Treatment ... diagnosis #management #treatment
Coccidioidomycosis (Coccidioides): Valley Fever - Summary Sheet • Morphology • Geography, Reservoir and Mode of Transmission
Valley Fever - Summary ... When symptomatic→ pulmonary ... , eyes, heart, liver ... disease: no treatment ... nodule/cavity: no 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
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