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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27 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Differential/diagnosis ... See thread for POCUS ... Echocardiogram #A4c ... #clinical #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? ... ultrasound #Cardiology #PLAX ... #clinical
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False Positive Lung Point on POCUS
Lung-Cardiac Point and Lung-Diaphragm Point
These images highlight selected differentials to pleural
Lung Point on POCUS ... Lung-Cardiac Point ... False #LungPoint #POCUS ... #clinical #lungcardiac ... #diagnosis #mimics
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Air gap sign: loss of cardiac image during systole in Pneumopericardium
Interesting observation –loss of cardiac window
sign: loss of cardiac ... see this after cardiac ... Pneumopericardium #clinical ... echocardiogram #a4c ... #plax #pocus #airgap
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Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... tamponade recurs. ❿ Plan ... definitive management ... specialist referral. β“« Plan ... #Management #Workup
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Manage acute cardiac ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology
Multi-chamber Myxoma in a case of Carney Complex (CC) on POCUS Echocardiogram
Carney Complex (CC) - characterized
Complex (CC) on POCUS ... skin & mucosa, cardiac ... Echocardiogram #clinical ... #cardiology #a4c ... #plax
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Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... Diagnosis Portal ... >10 mmHg - clinically ... Post-Hepatic: β€’ Cardiac ... #hepatology
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash Β± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... fraction < 20% Differential ... Diaqnoses: β€’ ... , DIC, TMA β€’ Cardiac ... #management #treatment
Autoimmune Hepatitis

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
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Highly variable clinical ... , AIH diagnosis ... Anti-LKM & Anti-ALC ... Hepatitis (eg Viral) Management ... #Management #Hepatology