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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17 results
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Hypotension / Shock ... Differential Diagnosis ... valvulopathy β€’ Pulmonary ... embolism β€’ Left ... #Differential #
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... Pulmonary embolism ... #Embolism #POCUS ... Echocardiogram #A4c
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Acute Pulmonary Embolism on POCUS Echocardiogram before and after TPA
POCUS Echocardiogram in suspected hypoxic COVID patient
Acute Pulmonary ... Embolism on POCUS ... male with hypoxia/hypotension ... #Embolism #POCUS ... TPA #clinical #a4c
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Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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Shock - Differential ... β€’ Obstructive: Pulmonary ... Embolism, Tension ... Severe auto-PEEP, Abdominal ... #Differential #
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Dry) β€’ Puimonary ... failure from massive pulmonary ... embolism or severe ... pulmonary hypertension ... #criticalcare #differential
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
initially include hypotension ... Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... amniotic or fat embolism ... #diagnosis #differential
Severe Pulmonary Hypertension on Echocardiogram
Pulmonary hypertension results in compensatory changes to the RV. The RV appears
Severe Pulmonary ... Hypertension on ... rectangular (from A4C ... Echocardiogram #clinical #cardiology ... #pocus
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Left Ventricular Hydatid Cyst on Echocardiogram (A4C)
Illustrative echo-first image showing a large hydatid cyst in the
Echocardiogram (A4C ... Pulmonary embolism ... , anaphylactic shock ... Echocardiogram #A4C ... #clinical #cardiology
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Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... See thread for POCUS ... Pulmonary embolism ... hypertension (>
Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
Hypertension ... hypertension! ... ) #Clinical #POCUS ... #Cardiology #Echocardiogram ... #A4C #Cardiac #
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