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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Chest pain, good story, but nonspecific ECG? Do a bedside echo: regional WMAs support your case
but nonspecific ECG ... WMAs support your case ... UltrasoundJelly #Clinical #Diagnosis ... #POCUS #Echocardiogram
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Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Echocardiogram ... Triage EKG (no prior ... Differential/diagnosis ... #Echocardiogram
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Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
maintained fever CAUSES ... Sepsis (β†’ 3-14) e.g ... #Differential #Causes ... #Anesthesiology ... Anesthesia #Checklist #Diagnosis
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Dissection on POCUS ... Non-ischemic EKG ... What's the Diagnosis ... Aortic #Aorta #Echocardiogram ... Clinical #Ultrasound #POCUS
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Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
in Anaesthesia Caused ... , e.g. central line ... tube ❹ Rapid diagnosis ... β€’ Diagnostic ... Cardiac #Tamponade #Anesthesiology
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
pressure as a cause ... and positioning (e.g ... (eg steroid dependency ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
Consider potential causes ... blood gas, 12-lead ECG ... POTENTIAL CAUSES ... #Differential #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS ... Echocardiogram ... could pinpoint the cause ... Had diagnostic tap-fever ... #Echocardiogram
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Intracardiac Septal Masses / Thickening on Echocardiogram - Differential Diagnosis - 4 separate cases:
Case 1: LV
Thickening on Echocardiogram ... - Differential Diagnosis ... #Thickening #Echocardiogram ... clinical #a4c #comparison ... #Differential #Diagnosis
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Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... Consider thrombolysis e.g ... over 2 h (>65 kg ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist #Diagnosis