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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management anesthesia checklist intraoperative workup cardiology clinical echocardiogram anaphylaxis block cabcde cardiac central constrictive high neuraxial pediatrics pericarditis pneumopericardium primary
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 ... Neuraxial #Block #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... circumferential pericardial effusion ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical
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 Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... • Maintain the airway ... examination and vital signs ... tamponade recurs. ❿ Plan ... Cardiac #Tamponade #Anesthesiology
Pediatric Trauma Primary Survey: C-ABCDE C - Catastrophic Bleeding - Life-threatening hemorrhage • Apply direct pressure/compression bandage
applied) A - Airway ... c-spine not cleared; plan ... Binder) • Use POCUS ... ↓ BP is a late sign ... Analgesia/sedation plan
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... • Maintain the airway ... • Plan for repeat ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist #Diagnosis
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