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 anesthesia checklist intraoperative management workup constrictive pericarditis tamponade airgap anaphylaxis aorta aorticvalve block cardiac central clotintransit cp crisis
Parasternal Short axis, fan proximal and look for Aortic Valve in a plane shows all three
"Mercedes Benz Sign ... #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 ... #clinical #echocardiogram
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 Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #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 ... #plax #clinical
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 Air gap sign: loss of cardiac image during systole in Pneumopericardium Interesting observation –loss of cardiac window
Air gap sign: loss ... Pneumopericardium #clinical ... echocardiogram #a4c ... #plax #pocus #airgap ... #sign
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 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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 High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
• Plan to ensure ... hypnosis as soon as clinical ... that may mimic signs ... Neuraxial #Block #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... examination and vital signs ... tamponade recurs. ❿ Plan ... specialist referral. ⓫ Plan ... Cardiac #Tamponade #Anesthesiology
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 ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
rise is a late sign ... see Box D). ⓭ Plan ... admission to critical ... Hyperthermia #Crisis #Anesthesiology ... Intraoperative #Checklist #Diagnosis
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