Eduardo sanchez @TeamMuni
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Pgy 2 IM resident in Puerto Rico
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First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires
identification of the type ... #Diagnosis #Management ... Overlap #FirstLine #Differences ... #Algorithm #Treatment
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... • Most common type ... water #Shock #Classification ... #Types #diagnosis ... #management #cold
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
Diagnosis and Management ... Absent p try adenosine ... • MAT. 3 types ... Differential #Diagnosis #Management ... #wide #narrow #algorithm
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Brady Management ... AV node) - Dr ... #HeartBlocks #Types ... #Classification
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Risk Stratify Type ... What is the type ... ACEi/ARBs - Hold day ... medical and surgical management