Dr. Gerald Diaz @GeraldMD
39.6M 14.2K 7.5K
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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Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 β€’ Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... - Diagnosis and ... Hypoperfusion from Cardiac ... @SkylerLentz #Cardiogenic ... #Shock #Diagnosis
Takotsubo Cardiomyopathy on POCUS Echocardiogram

Patient is in shock. POCUS RUSH exam shows the shock is cardiogenic.
Cardiomyopathy on POCUS Echocardiogram ... Patient is in shock ... exam shows the shock ... is cardiogenic. ... #A4c #Ultrasound
β–Ί
POCUS Reference Measurements
 β€’ Gallbladder
 β€’ Urinary Bladder
 β€’ GI Tract
 β€’ Pregnancy
 β€’ Optic Nerve
DVT β€’ IVC β€’ Aorta ... β€’ Cardiac ... #Measurements #Ultrasound ... #Echocardiogram ... #Diagnosis
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Non-lschemic Causes of Cardiogenic ... Shock: Beta-Blockers ... systemic HTN, aortic ... #Shock #Differential ... #Diagnosis #Cardiology
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Signs: Normal cardiac ... Cardiogenic Shock ... : β€’ Cardiogenic ... by low cardiac ... #criticalcare #diagnosis
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
intuitive way to use ultrasound ... along the peri-shock ... to full shock spectrum ... #Diagnosis #POCUS ... #High #Chest #Cardiogenic
Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
Myocarditis Diagnosis ... Abnormal ECG, echocardiogram ... Elevated troponin β€’ Cardiogenic ... shock, sudden cardiac ... #Myocarditis #Diagnosis
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 β€’ PUMP: LV contractility, RV strain, tamponade
 β€’ TANK: IVC
Rapid Ultrasound ... in SHock Evaluation ... E-FAST β€’ A - Aorta ... Exam #protocol #diagnosis ... #shock
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... β€’ Ruptured aortic ... ) Cardiogenic ( ... #Differential #Diagnosis
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