Dr. Gerald Diaz @GeraldMD
23.1M 13.7K 7.2K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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9 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... SBP. ... #Abdominal #POCUS ... #clinical #ultrasound ... Pneumoperitoneum #Complex #Ascites
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COVID-19 POCUS

96 yrs old, discharged 3 wks ago for CAP, treated with amox/clav then cefixime. Returns
CXR with consolidation ... But this ultrasound ... Test done: positive ... COVID19 #POCUS #Clinical ... #Lung #Ultrasound
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Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 โ€ข Defect in fetal free fatty acid metabolism products โ†’
nausea, vomiting, abdominal ... develops (DIC, ascites ... AP, โ†‘INR, โ†‘BUN/Cr ... Antithrombin Ill โ€ข Ultrasound ... Maternal Support - Critical
Bibasilar Atelectasis secondary to massive ascites

Finally, large volumes of intra-abdominal fluid can lead to elevated hemi-diaphragms-->bibasilar
secondary to massive ascites ... volumes of intra-abdominal ... collapse #pulmonary #lung ... #clinical #pocus ... #ultrasound
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TIE Fighter Sign on POCUS - Uterus floating in pelvic ascites
Not uncommon during nephrology rounds in
uncommon during nephrology ... Pelvic ascites can ... Note in long axis ... #Sign #POCUS #ultrasound ... #clinical #ascites
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Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... On cipro for sbp ... Point of Care Ultrasound ... #POCUS #SBP #clinical ... #ultrasound #abdominal
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Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... Diagnosis = clinical ... the โ€œChewing gum test ... initiating steroids, so ... day, followed by long
Pneumoperitoneum via Perforated Duodenal Ulcer- Free Air on Abdominal POCUS

Young patient with diffuse abdominal pain...don't let
Ulcer- Free Air on Abdominal ... intraperitoneal air is best ... get fooled by lung ... #POCUS #ultrasound ... #clinical
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Esophageal Rupture with Gastric Contents seen on Lung Ultrasound
Middle aged patient with oesophageal Ca presents generally
Contents seen on Lung ... Ultrasound Middle ... becomes suddenly SOB ... Patient had CXR ... #clinical
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