Dr. Gerald Diaz @GeraldMD
23.3M 13.8K 7.2K
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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13 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... - Large effusion ... (no B-lines on ultrasound ... Nephrotoxins (e.g ... channel blocker (eg
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... thread for POCUS Pulmonary ... Echocardiogram #A4c ... #clinical #cardiology
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Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (A4C ... demonstrating ECG ... Echocardiogram #malignant #clinical ... #cardiology #pocus ... #a4c #electrical
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Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (S4C ... demonstrating ECG ... Echocardiogram #malignant #clinical ... #cardiology #pocus ... #S4C #electrical
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Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... - Acute HF, Cardiogenic ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... diagnosis #management #cardiology
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Large Pericardial Effusion ... in pericardial effusion ... EKG from same patient ... Echocardiogram #A4C ... #Clinical #Cardiology
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Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... Setup - Ultrasound ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... resuscitation β€’ Cardiogenic
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... circumferential pericardial effusion ... meeting diagnostic criteria ... Echocardiogram #a4c ... #cardiology
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Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... checkpoint inhibitors (e.g ... reports of pleural effusion ... #Clinical #Diagnosis ... #Radiology #Honc
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
Complex Pericardial Effusion ... Echocardiogram - A4C ... K 5.9 without EKG ... Echocardiogram #A4C ... #clinical #cardiology
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