Dr. Gerald Diaz @GeraldMD
48.7M 14.2K 7.5K
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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POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
POCUS Pearls for Tamponade ... @SAlerhand #Cardiac ... #Diagnosis #Evaluation ... #Cardiology #Effusion ... #Echocardiogram
β–Ί
β€œH’s & T’sβ€œ - The reversible causes of Cardiac Arrest 
Hypovolemia, Hypoxia/Hypoxemia, Hydrogen Ion Excess (Acidosis),
Hyperkalemia, Hypothermia Tamponade ... (Cardiac), Toxins ... Pneumothorax, Thrombosis (Pulmonary ... #differential #diagnosis ... #arrest #management
Pulmonary Artery Catheter Pressures
Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2
HFrEF,
Pulmonary Artery ... 25, PCWP 8-12, Cardiac ... Right-to-Left Shunt Tamponade ... #Hemodynamics #Cardiology ... #diagnosis
Thoracic Trauma - Lethal 6 and Hidden 6 of Thoracic Trauma
The Lethal 6 of Thoracic Trauma:
Hemothorax β€’ Cardiac ... Tamponade β€’ Flail ... Esophageal Injury β€’ Pulmonary ... Thoracic #Trauma #diagnosis ... #management #injuries
POCUS Echocardiography - Table of Cardiac Views and Windows
 β€’ Parastemal Long-Axis View (PLAX)
 β€’ Parasternal
Echocardiography - Table ... of Cardiac Views ... #TTE #Echocardiogram ... Orientations #Atlas #Map #Comparison ... #Cardiology
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Pathophysiology Comparison ... tamponade, or tension ... Pulmonary embolism ... Tamponade: pericardial ... #criticalcare #diagnosis
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Obstructive: Pericardial tamponade ... , Pulmonary embolism ... #inopressors #diagnosis ... #management #comparison ... #table
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... tamponade. ... output (ie, cardiac ... #Diagnosis #PACatheter ... #Differential #Table
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Anaphylaxis - Post-cardiac ... infarction Tamponade ... #Cardiogenic #Comparison ... #Table #Diagnosis
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 β€’ Hemorrhage, dehydration due
- Differential Diagnosis ... β†’ tension PTX, cardiac ... tamponade, Vascular ... #Differential #Diagnosis ... #table #comparison