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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Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... 1 β€” Treat the lungs ... (no B-lines on ultrasound ... HeartFailure #Cardiology #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Insufficiency, Liver Failure ... High SVR: β€’ Cardiogenic ... #criticalcare # ... algorithm #treatment #management
ExtraCorporeal Membrane Oxygenation (ECMO) Fundamentals
Definitions:
 β€’ ExtraCorporeal Membrane Oxygenation (ECMO) provides prolonged pulmonary and/or circulatory support
an artificial lung ... mixed respiratorv failure ... overdose, massive PE, cardiogenic ... #Oxygenation #diagnosis ... #management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
, inflammatory lung ... permeability, lung ... overload with heart failure ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
in obstructive lung ... exacerbation (cardiogenic ... acute respiratory failure ... #indications #criticalcare ... #management
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Setup - Ultrasound ... resuscitation β€’ Cardiogenic ... #criticalcare #
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
multisystem organ failure ... myxedema, beriberi CARDIOGENIC ... vascular β†’ RV failure ... Classification #types #diagnosis ... #management #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... wound. drains) Cardiogenic ... Classification #diagnosis ... #management #Overview ... #criticalcare #
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... wound. drains) Cardiogenic ... Classification #diagnosis ... #management #Overview ... #criticalcare #
Based on the images alone, it is usually not possible to determine the cause of the
Pumonary cardiogenic ... congestive heart failure ... in fact this is nodular ... interstitial lung ... #Clinical #Diagnosis