Dr. Gerald Diaz @GeraldMD
23.0M 13.7K 7.2K
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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Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock - Diagnosis ... and Management ... Studies • POCUS ... Management: • ... #Management #cardiology
Hydronephrosis Grading
Grade I - Pelviectasis 
Grade II - Caliectasis (Major Calyces)
Grade III - Caliectasis (Minor Calyces)
Grade
Thinning - POCUS ... Grading #grades #nephrology ... #radiology #ultrasound ... #pocus #clinical ... #diagnosis
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
much easier to diagnosis ... Type1 #Distal #Diagnosis ... #Management #Nephrology ... #Causes #Differential
Multiple masses
The differential diagnostic list of multiple masses is very long.
The most important diagnoses are listed
Multiple masses ... The differential diagnostic ... list of multiple masses ... most important diagnoses ... #Management #Radiology
Algorithm for the Management of Ventricular Tachycardia Electrical Storm
ES diagnosed (≥ 3 episodes of VT/ICD therapies
Algorithm for the Management ... Electrical Storm ES diagnosed ... of reversible causes ... #VTach #diagnosis ... #cardiology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a peripheral cause ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Erb's Palsy is caused ... Dislocation - May cause ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Iron Deficiency in Heart Failure
Pathophysiology:
Chronic heart failure leads to an increase in inflammatory cytokines → Inflammation
→ Inflammation causes ... and iron release Diagnosis ... endpoint of all-cause ... #heartfailure #diagnosis ... #management #cardiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
What’s the diagnosis ... and other rarer causes ... Kussmauls #Sign #physicalexam ... clinical #video #jvp #cardiology
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LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Diagnosis? ... Management? ... LVOTO #SAM #HOCM #POCUS ... Echocardiogram #ultrasound #Cardiology
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