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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Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... with possible COVID ... - CBC with differential ... echocardiogram, EKG ... #SARSCoV2 #Coronavirus
Extrapulmonary manifestations of COVID-19
 β€’ Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-BarrΓ©, Ageusia, Myalgia, Anosmia, Stroke
 β€’ Renal:
manifestations of COVID ... vein thrombosis, Pulmonary ... Cardiac: Takotsubo cardiomyopathy ... Extrapulmonary #Diagnosis ... Signs #Symptoms #SARSCOV2
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... Pulmonary embolism ... RJonesSonoEM #Pulmonary
β–Ί
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... Diagnosis by Mechanism ... hemorrhage) - Pulmonary ... #Hyponatremia #Differential ... #Diagnosis #Table
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
Shock - Differential ... Diagnosis by Classification ... β€’ Hypertrophic cardiomyopathy ... #Syncope #Differential ... #Table #Causes
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 β€’ Acute: Trauma, COPD exacerbation, Asthma
Causes of Dyspnea - Differential ... Diagnosis Pulmonary ... Pleural effusion, Pulmonary ... Intracardiac shunt, Cardiomyopathy ... #Diagnosis
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... β€’ Pulmonary embolus ... during Delivery β€’ Stable ... should be done on diagnosis ... #diagnosis #management
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... cardiogenic shock (eg ... #Diagnosis #PACatheter ... #NormalValues #Differential ... #Table #Chambers
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... See thread for POCUS ... #EKG #Electrocardiogram
Type L:
 - Low elastance. The nearly normal compliance indicates that the amount of gas in
this stage, the pulmonary ... weight (> 1.5 kg ... Citerio @Dr_Cit #COVID19 ... Phenotypes #Variations #Diagnosis ... #Management #SARSCOV2