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 differential management criticalcare causes classification plax tamponade treatment types aorta comparison s4c table a4c algorithm dissection effusion
RUSH(ed) Exam - POCUS Protocol Rapid Ultrasound in Shock and Hypotension 1. Parasternal Long Cardiac View 2. Apical Four-Chamber
Aortic Slide Views ... Pulmonary View ... Pulmonary View ... POCUS #Protocol #diagnosis ... #ultrasound #shock
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
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... Mechanical → severe aortic ... dissection of ascending aorta ... pneumothorax, cardiac ... Classification #types #diagnosis
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... Mechanical → severe aortic ... dissection of ascending aorta ... pneumothorax, cardiac ... Classification #Types #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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 Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Differential Diagnosis ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... Obstructive: • Cardiac ... #Differential #Diagnosis
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... Diagnosis by Classification ... • Ruptured aortic ... flow) - Massive pulmonary ... #Differential #Diagnosis
Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
pericardial effusion, cardiac ... Pulmonary embolism ... Signs: Normal cardiac ... characterized by low cardiac ... #criticalcare #diagnosis
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Setup - Ultrasound ... Tamponade - Pulmonary ... Cardiac surgery? ... #Diagnosis #Management
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