Dr. Gerald Diaz @GeraldMD
29.8M 13.9K 7.3K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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management anesthesiology clinical echocardiogram intraoperative pericardial cardiac alternans differential electrical ventricular criticalcare embolism fibrillation malignant tamponade vfib airway anaphylaxis arrest
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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 Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial Effusion ... Echocardiogram (A4C ... demonstrating ECG ... 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
Massive Pericardial Effusion ... Echocardiogram (S4C ... demonstrating ECG ... malignant #clinical #cardiology ... #pocus #S4C #electrical
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 Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Workup
Large Pericardial Effusion on POCUS Good example of swinging heart in pre tamponade. Reason for electrical
on POCUS Good ... EKG from same patient ... electrical #alternans #POCUS ... Echocardiogram #A4C ... #Clinical #Cardiology
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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 ... #Workup
Hemopericardium on POCUS Echocardiogram - Subcostal View Valentine's day. Shot through the heart--but not by Cupid.
Diagnosis? ... Echocardiogram #S4C ... #clinical #cardiology ... #ultrasound #Pericardial ... #Effusion #Trauma
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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 ... echocardiogram to workup ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
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 Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... Consider thrombolysis e.g ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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