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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28 results
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... concerning for cardiac ... MyocardialInfarction #AMI #POCUS #Echocardiogram ... #ultrasound #Cardiology ... #A4c #clinical
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POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
@SAlerhand #Cardiac ... Tamponade #POCUS #Diagnosis ... #Evaluation #Cardiology ... #Effusion #Echocardiogram ... #Ultrasound
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Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
Myocarditis Diagnosis ... tachycardia β€’ S3, S4 ... Abnormal ECG, echocardiogram ... shock, sudden cardiac ... #Management #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Differential/diagnosis ... Embolism #POCUS #Echocardiogram ... #A4c #clinical ... #cardiology #McConnells
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Hemopericardium on POCUS Echocardiogram - Subcostal View

Valentine's day.  Shot through the heart--but not by Cupid.
Hemopericardium on POCUS Echocardiogram ... Diagnosis? ... Hemopericardium #POCUS #Echocardiogram ... #S4C #clinical ... #cardiology #ultrasound
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Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... Maneuvers An algorithm ... regurgitation; PS, pulmonary ... Maneuvers #Heart #Cardiology ... #PhysicalExam #Diagnosis
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
to SAM on POCUS Echocardiogram ... Diagnosis? ... Management? ... #HOCM #POCUS #Echocardiogram ... #ultrasound #Cardiology
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Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
Tamponade Masked in Pulmonary ... PMC5466174/ - VCU Ultrasound ... Clinical #POCUS #Cardiology ... #Echocardiogram ... #A4C #Cardiac #
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A good approach when dealing with hypotension at the bedside includes using the following systematic four
examination and ultrasound ... Cardiac Performance ... Vascular Resistance #Diagnosis ... #Management #EM ... Hypotension #Approach #Algorithm
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Algorithm for patients ... LMCA lesion -> Cardiac ... Angina #ChestPain #Diagnosis ... #Management #Algorithm ... #Cardiology #EBM