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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12 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology
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Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... Echocardiogram STEMI on EKG ... - VCU Ultrasound ... Echocardiogram #cardiology ... #clinical #plax
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Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... edema - Large effusion ... (no B-lines on ultrasound ... Nephrotoxins (e.g ... channel blocker (eg
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Septal Hypertrophic Cardiomyopathy ... EKG nonspecific, ... Metoprolol - VCU Ultrasound ... echocardiogram #plax ... #cardiology #pocus
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Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... iatrogenic causes, e.g ... pericardiocentesis kit (eg ... examination and vital signs ... Intraoperative #Checklist
Anterior Akinesia on POCUS Echocardiogram

Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
getting 12 lead ECG ... Diagnosis? ... ECG obtained. ... Hypokinesis #RWMA #PLAX ... #ultrasound #Cardiology
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Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
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Takotsubo Cardiomyopathy on POCUS Echocardiogram

50's male CAP on Day 4 Zpak but worsening-fever, congestion, cough. BP
Takotsubo Cardiomyopathy ... ECG Trop I 1.13. ... #Takotsubo #Cardiomyopathy ... #ultrasound #Cardiology ... #a4c #clinical
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Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
of more of the signs ... alternate vasopressor (e.g ... β€’ Plan for repeat ... Intraoperative #Checklist ... #Diagnosis #Management
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... develop (Box B). ❾ Plan ... Intraoperative #Checklist ... #Diagnosis #Management