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 echocardiogram clinical management anesthesiology checklist intraoperative workup constrictive pericarditis psax pulmonary tamponade ultrasound airgap anaphylaxis aorta aorticvalve block cabcde
D-Sign on Ultrasound Right Ventricular Pressure vs Volume Overload Eccentricity Index (EI) = D2/D1 RV Overload “D Sign” EI
D-Sign on Ultrasound ... RV Overload “D Sign ... @Pocus101 #DSign ... echocardiogram #psax ... #diagnosis #cardiology
Parasternal Short axis, fan proximal and look for Aortic Valve in a plane shows all three
"Mercedes Benz Sign ... #AorticValve #Aorta ... #mercedes #sign ... Echocardiogram #POCUS ... Clinical #cardiology #PSAX
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 Pericardial effusion with signs of tamponade on POCUS Echocardiogram (S4c) RA collapse= earliest sign. RV collapse =
Pericardial effusion ... on POCUS Echocardiogram ... = earliest sign. ... sensitive sonographic sign ... #tamponade #POCUS
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 Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... cardiology #McConnells #sign
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 Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram STEMI on EKG: check the echo!
Double Valve Sign ... - Type A Aortic ... Dissection on POCUS ... #DoubleValve #Sign ... cardiology #clinical #plax
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 Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
sliding/barcode sign ... Consolidations - "Shred" sign ... submassive PE) POCUS ... #differential #diagnosis ... #signs #Lung #POCUS
Air gap sign: loss of cardiac image during systole in Pneumopericardium Interesting observation –loss of cardiac window
Air gap sign: loss ... echocardiogram #a4c ... #plax #pocus #airgap ... #sign
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 High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
• Plan to ensure ... that may mimic signs ... Haemorrhage. ❼ Plan ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... • Diagnostic ... examination and vital signs ... tamponade recurs. ❿ Plan ... specialist referral. ⓫ Plan
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... • Plan for repeat ... feasible (Box B). ⓭ Plan ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis
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