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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cardiology management pocus clinical differential checklist criticalcare anesthesia anesthesiology intraoperative causes algorithm aorta plax table ultrasound classification comparison heart syncope
POCUS Reference Measurements • Gallbladder • Urinary Bladder • GI Tract • Pregnancy • Optic Nerve
Pregnancy • Optic ... DVT • IVC • Aorta ... • Cardiac ... Measurements #Ultrasound #Echocardiogram ... #Diagnosis
Aortic Measurements on Echocardiography Aortic annulus 1.4-2.6 cm Sinus of Valsalva 2.1-3.5 cm Sinotubular junction 1.7-3.4 cm Ascending Aorta 2.1-3.4
Aortic Measurements ... Echocardiography Aortic ... cm Ascending Aorta ... Echocardiography #echocardiogram ... #diagnosis #Cardiology
Checklist Approach to Undifferentiated Shock / Hypotension #Checklist #Undifferentiated #Shock #Hypotension #Diagnosis #Workup #Management #Evaluation
Undifferentiated Shock ... Undifferentiated #Shock ... #Hypotension #Diagnosis ... #Workup #Management
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Survey 4) Workup ... dilated IVC - Cardiac ... Cardiac surgery? ... #Diagnosis #Management
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
Rapid Ultrasound in SHock Evaluation RUSH Protocol: • PUMP: LV contractility, RV strain, tamponade • TANK: IVC
Ultrasound in SHock ... compromise • PIPE: Aortic ... E-FAST • A - Aorta ... Exam #protocol #diagnosis ... Ultrasound #pocus #shock
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 B Aortic Dissection Flap on POCUS Echocardiogram - PLAX Elderly male with hypertension and DM presents
Type B Aortic Dissection ... Flap on POCUS Echocardiogram ... Diagnosis? ... the descending aorta ... #Flap #POCUS #Echocardiogram
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 Cardiogenic Shock - Diagnosis and Management Summary Identifying Hypoperfusion from Cardiac Dysfunction • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... - Diagnosis and ... Hypoperfusion from Cardiac ... #Cardiogenic #Shock ... #Diagnosis #Management
RUSH(ed) Exam - POCUS Protocol Rapid Ultrasound in Shock and Hypotension 1. Parasternal Long Cardiac View 2. Apical Four-Chamber
Ultrasound in Shock ... Parasternal Long Cardiac ... Aortic Slide Views ... POCUS #Protocol #diagnosis ... #ultrasound #shock
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