Dr. Gerald Diaz @GeraldMD
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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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differential table cardiology management clinical pocus pulmonary shock arterial classification syncope dissection intracardiac pericarditis plax renal toxicology treatment types a4c
POCUS Reference Measurements • Gallbladder • Urinary Bladder • GI Tract • Pregnancy • Optic Nerve
Pregnancy • Optic ... DVT • IVC • Aorta ... • Cardiac ... Measurements #Ultrasound #Echocardiogram ... #Diagnosis
POCUS Echocardiography - Table of Cardiac Views and Windows • Parastemal Long-Axis View (PLAX) • Parasternal
Echocardiography - Table of Cardiac ... • SC Abdominal Aorta ... Axis • PSAX: Aortic ... #TTE #Echocardiogram ... Orientations #Atlas #Map #Comparison
Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
Pathophysiology Comparison ... in blood flow caused ... Depends on the cause ... #criticalcare # ... diagnosis #classification
Arterial Lines - Abnormal Arterial Waveforms: - Underdampened: Falsely High BP - Adjust monitor filter settings
inspiration - Cardiac ... Insufficiency + Aortic ... Peak - Severe Aortic ... lines #waveforms #diagnosis ... #criticalcare
Intra-Aortic Balloon Pump (IABP) Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
Intra-Aortic Balloon ... IABP) Intra-aortic ... sync with the cardiac ... Balloon #Pump #diagnosis ... management #cardiology #criticalcare
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... is caused by a ... Consider aortic ... disease • Cardiac ... #Dissection #diagnosis
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
- Differential Diagnosis ... findings based on cause ... #Differential #Diagnosis ... #table #comparison ... #criticalcare
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
- Differential Diagnosis ... • Ruptured aortic ... exacerbation (any cause ... #Differential #Diagnosis ... Classification #Table #CriticalCare
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Bradyarrhythmias, Some cases ... Tachyarrhythmias, Cardiac ... Tachyarrhythmias, Cardiac ... Vasopressors #Inotropes #comparison ... #pharmacology #criticalcare
Hypoxemia and Dyspnea - Rapid Response Management 1) Ask for vitals en route 2) Stabilize: Nasal canula 3)
Examination: Pulmonary, Cardiac ... , Neuro 4) Diagnose ... the underlying cause ... Dyspnea #Management #criticalcare
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