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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pocus clinical management cardiology differential classification plax types aorta comparison table tamponade arterial dissection effusion evaluation exam fibrillation protocol rush
POCUS Reference Measurements • Gallbladder • Urinary Bladder • GI Tract • Pregnancy • Optic Nerve
DVT • IVC • Aorta ... • Cardiac ... #Measurements #Ultrasound ... #Echocardiogram ... #Diagnosis
Rapid Ultrasound in SHock Evaluation RUSH Protocol: • PUMP: LV contractility, RV strain, tamponade • TANK: IVC
Rapid Ultrasound ... in SHock Evaluation ... E-FAST • A - Aorta ... Exam #protocol #diagnosis ... #shock
RUSH(ed) Exam - POCUS Protocol Rapid Ultrasound in Shock and Hypotension 1. Parasternal Long Cardiac View 2. Apical Four-Chamber
Protocol Rapid Ultrasound ... in Shock and Hypotension ... Aortic Slide Views ... POCUS #Protocol #diagnosis ... #ultrasound #shock
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... Diagnosis by Classification ... • Ruptured aortic ... #Differential #Diagnosis ... Classification #Table #CriticalCare
Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
pericardial effusion, cardiac ... Signs: Normal cardiac ... characterized by low cardiac ... #Comparison #criticalcare ... #diagnosis #classification
Type A Dissection on POCUS (PLAX view) 39 yo M w CP drops his BP in ED.
What's the Diagnosis ... Proximal aortic ... Note large aortic ... #Aorta #Echocardiogram ... PLAX #Clinical #Ultrasound
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 Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... Mechanical → severe aortic ... pneumothorax, cardiac ... Classification #types #diagnosis ... #management #criticalcare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Setup - Ultrasound ... Cardiac surgery? ... #Diagnosis #Management ... #Summary #criticalcare
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... Consider aortic ... disease • Cardiac ... deficit • Shock ... #Dissection #diagnosis
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
and Differential Diagnosis ... SHOCK • MAP ... Pneumothorax, Cardiac ... #Differential #Diagnosis ... #Types #criticalcare
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