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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Hypertrophic Cardiomyopathy ECG and Clinical Features #HOCM #Hypertrophic #Cardiomyopathy #Diagnosis #Management #Cardiology
Hypertrophic Cardiomyopathy ... ECG and Clinical ... #Hypertrophic #Cardiomyopathy ... #Diagnosis #Management ... #Cardiology
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Takotsubo Cardiomyopathy ... on POCUS 78 ... of chest pain ECG ... #POCUS #Ultrasound ... Echocardiogram #Cardiology
β–Ί
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 β€’ PUMP: LV contractility, RV strain, tamponade
 β€’ TANK: IVC
Rapid Ultrasound ... in SHock Evaluation ... Exam #protocol #diagnosis ... #Ultrasound #pocus ... #shock
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... Hypertrophic Cardiomyopathy ... systemic HTN, aortic ... #Differential #Diagnosis ... #Cardiology
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 β€’ Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Studies β€’ POCUS ... #Cardiogenic #Shock ... #Diagnosis #Management ... #cardiology
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Dissection on POCUS ... Non-ischemic EKG ... What's the Diagnosis ... PLAX #Clinical #Ultrasound ... #POCUS #Hemopericardium
β–Ί
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and wet) β€’ Cardiomyopathic ... Mechanical β†’ severe aortic ... dissection of ascending aorta ... Classification #Types #diagnosis ... #management #cold
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Wet): β€’ Cardiomyopathic ... Mechanical β†’ severe aortic ... dissection of ascending aorta ... Classification #types #diagnosis ... #management #criticalcare
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
tissue disorder e.g ... deficit β€’ Shock ... blood pressure: e.g ... #Dissection #diagnosis ... #management #vascular
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 Ultrasound ... Aortic Slide Views ... #Protocol #diagnosis ... #ultrasound #shock