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 cardiology management causes criticalcare table classification plax treatment algorithm aorta dissection pulmonary syncope tamponade types echocardiography effusion evaluation
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
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... disease • Cardiac ... Pulse deficit/differential ... deficit • Shock ... #Dissection #diagnosis
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 - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... Diagnosis by Classification ... • Ruptured aortic ... #Differential # ... Diagnosis #Classification
Differential Diagnosis: Cyanosis - Mnemonic "COLD PALMS" Peripheral cyanosis • Cold • Obstruction • LVF and shock
Differential Diagnosis ... Obstruction • LVF and shock ... • Decreased cardiac ... Cyanosis #COLDPALMS #Diagnosis
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 ... #criticalcare #differential
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Hypotension / Shock ... Differential Diagnosis ... Obstructive: • Cardiac ... #Hypotension #Differential ... #Diagnosis #Algorithm
Echo Parameters for Differential Diagnosis in Cardiac Amyloidosis GLS GCS GRS EFSR RELAPS SAB #Echocardiogram #Parameters #echocardiography #Cardiac #Amyloidosis #diagnosis
Parameters for Differential ... Diagnosis in Cardiac ... RELAPS SAB #Echocardiogram ... echocardiography #Cardiac ... #Amyloidosis #diagnosis
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