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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17 results
Total Anomalous Pulmonary Venous Return (TAPVR)
 β€’ Introduction
 β€’ Classification
 β€’ Pathophysiology of TAPVR
 β€’ Presentation
Total Anomalous Pulmonary ... Classic β€œsnowman sign ... Pre-Operative Management ... Total #Anomalous #Pulmonary ... peds #pediatrics #summary
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Full Set of Vital Signs ... Setup - Ultrasound ... Tamponade - Pulmonary ... #Summary #criticalcare
Pott's Disease in Tuberculosis - Diagnosis and Management Summary
Epidemiology:
 - Typically from TB endemic areas
 -
Summary Epidemiology ... cases Clinical Signs ... years - May have signs ... symptoms of active pulmonary ... #Summary
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Pathophysiology Comparison ... Echocardiographic Signs ... Pulmonary embolism ... Pathophysiology #Comparison ... #criticalcare #
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... Management ● Early ... Syndrome #ARDS #Summary ... #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
β€’ Obstructive: Pulmonary ... Severe auto-PEEP, Abdominal ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 β€’ Vitals: ↑HR ↑RR ↓SpO2
 β€’ High work
Exacerbation Signs ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management
Emphysematous Cystitis
Epidemiology:
 β€’ Usually middle-aged diabetic women
 β€’ Other RF: neurogenic bladder, urinary tract outlet obstruction,
compromise Clinical Signs ... Abdominal or flank ... be present or signs ... consider KUB or abdominal ... ultrasound as initial
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... - RUQ ultrasound ... increase the risk of abdominal ... #CriticalCare