Dr. Gerald Diaz @GeraldMD
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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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POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
POCUS Pearls for Tamponade ... @SAlerhand #Cardiac ... #Tamponade #POCUS ... Diagnosis #Evaluation #Cardiology ... #Effusion #Echocardiogram
β–Ί
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Pneumothorax, Cardiac ... Tamponade, Severe ... Treatment Goals ... #Differential #
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Pericardial Tamponade ... in a Shock Patient ... Clinical #POCUS #Echocardiogram ... #Cardiac #Tamponade
β–Ί
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Hypotension / Shock ... Differential Diagnosis ... Obstructive: β€’ Cardiac ... tamponade β€’ Tension ... #Hypotension #Differential
Complications of Myocardial Infarction
Early complications result mainly from myocardial necrosis itself, while later complications reflect the
Ventricular aneurysm - Cardiac ... tamponade - Cardiogenic ... shock #Diagnosis ... #Cardiology #Complications
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... dysfunction Tamponade ... #Cardiogenic #Shock ... #Differential # ... Diagnosis #Cardiology
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... concerning for cardiac ... pericardial #effusion #tamponade ... MyocardialInfarction #AMI #POCUS #Echocardiogram ... #ultrasound #Cardiology
β–Ί
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
Shock Classification ... and Differential ... Pneumothorax, Cardiac ... Tamponade Hypovolemic ... Classification #Differential
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... collapse of RV - Treatment ... #Pericardial #Cardiac ... #Tamponade #Becks ... Triad #Diagnosis #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... HF, Cardiogenic shock ... Pericarditis, Tamponade ... Low voltage Treatment ... diagnosis #management #cardiology