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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clinical ultrasound diagnosis lung pleural management cardiology differential echocardiogram criticalcare sign causes classification protocol complex covid19 dissection empyema plax aorta
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... Mechanical → severe aortic ... dissection of ascending aorta ... failure from massive pulmonary ... embolism or severe pulmonary
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... Mechanical → severe aortic ... dissection of ascending aorta ... Cold and Dry) • Pulmonary ... embolism or severe pulmonary
Rapid Ultrasound in SHock Evaluation RUSH Protocol: • PUMP: LV contractility, RV strain, tamponade • TANK: IVC
Ultrasound in SHock ... compromise • PIPE: Aortic ... E-FAST • A - Aorta ... diagnosis #Ultrasound #pocus ... #shock
RUSH(ed) Exam - POCUS Protocol Rapid Ultrasound in Shock and Hypotension 1. Parasternal Long Cardiac View 2. Apical Four-Chamber
RUSH(ed) Exam - POCUS ... Ultrasound in Shock ... Aortic Slide Views ... Pulmonary View ... Pulmonary View
Mediastinal Widening - Differential Diagnosis • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
• Vascular: Aortic ... dissection, Aortic ... anourysm, Enlarged pulmonary ... duplicated SVC) • Pulmonary ... Pneumomediastinum, Pericardial effusion
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Hypotension / Shock ... Differential Diagnosis Algorithm ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... Differential #Diagnosis #Algorithm
Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
Shock Classification ... Obstructive Shock ... massive pericardial effusion ... Pulmonary embolism ... Tamponade: pericardial effusion
Shark Tail Appearance of Consolidated Lung on Pleural Effusion on POCUS Dr. David Feller-Kopman @dfellerk #Pleural #Effusion #pulmonary
Lung on Pleural Effusion ... on POCUS Dr. ... dfellerk #Pleural #Effusion ... #pulmonary #Lung ... #POCUS #clinical
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 Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... • Ruptured aortic ... a.k.a. neurogenic shock ... flow) - Massive pulmonary ... DrEricStrong #Shock
Non-lschemic Causes of Cardiogenic Shock: Beta-Blockers, Calcium Channel Blockers, Digoxin Myocarditis Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, hemochromatosis) Valvular
of Cardiogenic Shock ... Tamponade, pulmonary ... systemic HTN, aortic ... #Cardiogenic #Shock
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