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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RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
RUSH(ed) Exam - POCUS ... Protocol Rapid ... Cardiac View 2. ... in a search for Ectopic ... DVT depending on clinical
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
Live Ectopic Pregnancy ... on Transvaginal POCUS ... +preg test. ... an IUP or not. #2 ... #clinical #obgyn
β–Ί
Free fluid + empty uterus + positive pregnancy test = better start looking for a mass!
If
positive pregnancy test ... #FreeFluid #Ectopic ... Pregnancy #Ultrasound #POCUS ... #Transvaginal #Clinical
β–Ί
Ruptured Ectopic Pregnancy on Pelvic Ultrasound
25 y/o f w acute abd pain and vaginal bleeding. Upreg
Ruptured Ectopic ... y/o f w acute abd ... #Ruptured #Ectopic ... Pelvic #Ultrasound #clinical ... #POCUS #obgyn #
β–Ί
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
spectrum, based on clinical ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
spectrum, based on clinical ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High
Post-abortion Hemorrhage Management Algorithm
Cervical laceration
 β†’ Direct pressure, silver nitrate for small laceration
 β†’ Repair with
Hemorrhage Management Algorithm ... β†’ Repeat D&C Ectopic ... Laparoscopy and Repair Clinical ... massive transfusion protocol ... Hemorrhage #Management #Algorithm
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication β†’ Pre-test Probability β†’ Spectrum of Disease β†’
Indication β†’ Pre-test ... Ratio Step 1: Clinical ... with a focused clinical ... Step 2: Pre-test ... probability based on clinical
Algorithm for Suspected Penicillin Allergy in Patients Undergoing Surgery 

β€’ Cephalosporins may be prescribed to patients
physicians use the clinical ... diagnosed as skin-test ... there is only a 2% ... penicillin allergy 2 ... Preoperative #Management #Protocol
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Algorithm β€’ 40- ... fatigue despite clinical ... Experience β€’ 2/ ... modifications Algorithm ... #Algorithm #diagnosis