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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Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial Effusion ... sided pericardial effusion ... MyocardialInfarction #AMI #POCUS #Echocardiogram ... #ultrasound #Cardiology ... #A4c #clinical
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COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
COVID-19 on Lung ... diagnosis. ... bilateral pleural effusion ... #clinical #lung ... #ultrasound #pulmonary
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Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms
 β€’
Main Lung Ultrasound ... differences between COVID ... deaerated areas #COVID19 ... #POCUS #Lung #Ultrasound ... Comparison #Table #Diagnosis
Focused POCUS Lung and Cardiac Ultrasound Exams in COVID-19 Patients
1. Turn machine on / Enter patient
and Cardiac Ultrasound ... Exams in COVID- ... Change to cardiac ... POCUS #LungExam #diagnosis ... #covid19 #sarscov2
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
- Pericardial Effusion ... @SAlerhand #Cardiac ... Tamponade #POCUS #Diagnosis ... #Echocardiogram ... #Ultrasound
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One-page resource for Lung POCUS in COVID19:
- likely (unproven) sensitive due to peripheral distribution of lesions
One-page resource for Lung ... POCUS in COVID19 ... CT - pleural effusions ... coronavirus #pulmonary #ultrasound ... #diagnosis
POCUS Reference Measurements
 β€’ Gallbladder
 β€’ Urinary Bladder
 β€’ GI Tract
 β€’ Pregnancy
 β€’ Optic Nerve
Optic Nerve β€’ MSK ... β€’ Aorta β€’ Cardiac ... #Measurements #Ultrasound ... #Echocardiogram ... #Diagnosis
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... with possible COVID ... Chest X-ray - Lung ... ultrasound (thorough ... indicated (e.g. echocardiogram
COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
COVID-19 Findings ... on Lung ultrasound ... consolidation - Pleural effusion ... #Lung #ultrasound ... #POCUS #Diagnosis
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (A4c)
Hypotensive + respiratory distress. At first glance you
causing Cardiac ... Tamponade on Echocardiogram ... (A4c) Hypotensive ... #clinical #ultrasound ... #a4c #echocardiogram
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