Eduardo sanchez @TeamMuni
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Pgy 2 IM resident in Puerto Rico
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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #Cardiogenic #Obstructive
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Cardiogenic: Acute ... MI, Acute Heart ... Pancreatitis • Obstructive ... management #comparison #table
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... narrow-complex irregular protocol ... #Stable #WideComplex ... management #cardiology #algorithm
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Approach (when evaluation ... An acute rise or ... with previously stable ... disturbance, or acute ... Obstructive sleep
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
Guide to Acute Kidney ... Urinary tract obstruction ... Nephrology #Diagnosis #Algorithm
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
function tests algorithm ... indicate the initial evaluation ... history alongside evaluation ... extrahepatic biliary obstruction ... LFTs #Abnormal #Algorithm
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... into valve ring OBSTRUCTIVE ... warm #wet #dry #table
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... metabolic equivalent able ... event, follow ACC algorithm ... Stable patients ... perioperative #Risk #Evaluation