Dr. Gerald Diaz @GeraldMD
23.1M 13.7K 7.2K
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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A good approach when dealing with hypotension at the bedside includes using the following systematic four
A good approach ... evaluation, which relies ... examination and ultrasound ... Cardiac Performance ... Vascular Resistance #Diagnosis
POCUS Reference Measurements
 β€’ Gallbladder
 β€’ Urinary Bladder
 β€’ GI Tract
 β€’ Pregnancy
 β€’ Optic Nerve
β€’ Aorta β€’ Cardiac ... #Measurements #Ultrasound ... #Echocardiogram ... #Diagnosis
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
@SAlerhand #Cardiac ... Tamponade #POCUS #Diagnosis ... Cardiology #Effusion #Echocardiogram ... #Ultrasound
β–Ί
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
Protocol Rapid Ultrasound ... Parasternal Long Cardiac ... Apical Four-Chamber Cardiac ... POCUS #Protocol #diagnosis ... #ultrasound #shock
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... X-ray - Lung ultrasound ... Procalcitonin - Other diagnostics ... indicated (e.g. echocardiogram ... algorithm #schema #Diagnosis
Approach to the Hypercoagulable State
Arterial thromboembolism
β†’ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
β†’ Test for APS, particularly
Approach to the ... thromboembolism β†’ Cardiac ... rhythm monitoring, Echocardiogram ... Workup #hematology #diagnosis
Hemopericardium on POCUS Echocardiogram - Subcostal View

Valentine's day.  Shot through the heart--but not by Cupid.
Hemopericardium on POCUS Echocardiogram ... - Subcostal View ... Diagnosis? ... Hemopericardium #POCUS #Echocardiogram ... clinical #cardiology #ultrasound
β–Ί
Focused POCUS Lung and Cardiac Ultrasound Exams in COVID-19 Patients
1. Turn machine on / Enter patient
POCUS Lung and Cardiac ... Ultrasound Exams ... Change to cardiac ... parasternal long-axis view ... POCUS #LungExam #diagnosis
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
on POCUS (PLAX view ... What's the Diagnosis ... Aortic #Aorta #Echocardiogram ... PLAX #Clinical #Ultrasound
β–Ί
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... tube ❹ Rapid diagnosis ... β€’ Call for cardiac ... β€’ Diagnostic ... PERICARDIOCENTESIS (sub-xiphoid approach