Dr. Gerald Diaz @GeraldMD
52.1M 14.5K 7.6K
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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Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Secondary Bacterial ... ) on Abdominal POCUS ... Cirrhosis with fever/abd ... POCUS for win. ... Pneumoperitoneum #Complex
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Cough - Diagnostic Schema

Infectious: URTI, LRTI, Bacterial, Viral
Irritant/Exposure: Allergic, Post-infectious, Pneumonitis, ACEi, PTX, Foreign Body
Airway Disease:
Infectious: URTI, LRTI, Bacterial ... Autoimmune Vasculitis, ILD ... Dz, Malignant effusion ... #Differential #Algorithm
Malignant Complex Pleural Effusion on Lung POCUS
You are starting your RUSH exam on febrile/hypotensive patient with
Malignant Complex ... on Lung POCUS ... subacute(on/off) bleeding ... #Malignant #Complex ... #Lung #POCUS #Pulmonary
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Approach to Antithrombotic Therapy in Peripheral Artery Disease
Increased Ischemic Risk:
 β€’ Prior MI
 β€’ Diabetes
 β€’
smoker Increased Bleeding ... Anticoagulation β€’ Prior bleeding ... conduit β€’ Poor arterial ... Antithrombotic #management ... #antiplatelet #algorithm
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 β€’ 50mcg bolus β†’
Esophageal Variceal Bleeding ... Diagnosis and Management ... fluoroquinolone to complete ... Esophageal #Variceal #Bleeding ... #Diagnosis #Management
Complex Pleural Effusion caused by Esophageal Perforation
So much pathology for one lung. Esophageal perforation leading to
Complex Pleural ... Esophageal perforation leading ... to complex effusion ... Complex effusion ... Perforation #lung #pocus
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Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup and Management ... Algorithm in Transplant ... Bacterial culture ... Breath test for bacterial ... PTLD, GVHD or IBD
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Epilepticus - Management ... seizures without complete ... Anti-epileptic #3 β†’ Infusion ... Epilepticus #seizures #management ... #treatment #algorithm
Priority-based management algorithm for the undifferentiated patient in PEA arrest
PEA (no pulse by manual palp +
Priority-based management ... algorithm for the ... Cardiac POCUS 3 ... A-line placement - POCUS ... Start vasopressor infusion
Bacterial Constrictive Pericarditis on POCUS Echocardiogram
Presented with heart failure sx, required subxyphoid drain and antibiotics
Note ventricular
Bacterial Constrictive ... Pericarditis on POCUS ... septal bounce and complex ... effusion - VCU ... #Pericarditis #POCUS
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