Dr. Gerald Diaz @GeraldMD
39.3M 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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Focused POCUS Lung and Cardiac Ultrasound Exams in COVID-19 Patients
1. Turn machine on / Enter patient
and Cardiac Ultrasound ... phased-array probe and abdominal ... 3. ... Assess gross LVSF ... #LungExam #diagnosis
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
patient, severe abdominal ... (see below for diagnosis ... Pearls: #1 Confirm ... an IUP or not. #2 ... at the bedside #3
β–Ί
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
and no apparent focus ... Intense abdominal ... ascites, pleural effusion ... , pericardial effusion ... classification #diagnosis
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication β†’ Pre-test Probability β†’ Spectrum of Disease β†’
Likelihood Ratio Step 1: ... Step 2: Pre-test ... Step 3: Spectrum ... #ultrasound #management ... #diagnosis
Shoulder X-Ray Interpretation Checklist
1. Assess glenohumeral alignment
2. Outline the proximal humerus
3. Assess acromioclavicular joint and coracoclavicular
Checklist 1. ... alignment 2. ... proximal humerus 3. ... interpretation #radiology #msk ... #diagnosis
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
- Differential Diagnosis ... liter IVNS β€’ Drain ... Using external abdominal ... examining hand) 3. ... compression (using ultrasound
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
management - RUQ ultrasound ... Triglyceride level - Liver ... fluid balance >3- ... increase the risk of abdominal ... acetaminophen 1
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... SOFA and SIRS 1) ... - 2-large bore ... Setup - Ultrasound ... Readily Reversibles 3)
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... spinal needle + 3- ... Child: 20 ml.kg-1) ... xiphoid β€’ Attach 3- ... generally toward left shoulder
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... Then, ask 3 questions ... 1) Is it hypotonic ... 2) Is ADH elevated ... include vaptans (HF/liver