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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classification clinical criticalcare echocardiogram pediatrics types ultrasound a3c aortic cabcde cardiac cardiology cold constrictive cp dengue differential dry exam fever
Pericardial Tamponade in a Shock Patient Watch how the heart collapses and struggles to beat in surrounding
Pericardial Tamponade ... in a Shock Patient ... good enough at diagnosing ... EM_RESUS #Clinical #POCUS ... #Pericardial #Effusion
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 Rapid Ultrasound in SHock Evaluation RUSH Protocol: • PUMP: LV contractility, RV strain, tamponade • TANK: IVC
contractility, RV strain, tamponade ... • PIPE: Aortic dissection ... E-FAST • A - Aorta ... Exam #protocol #diagnosis ... #Ultrasound #pocus
Aortic Dissection Flap on Abdominal POCUS Older patient found-aphasia, left sided weakness. Last known well 90min ago.
Echogenic pericardial ... effusion seen. ... aorta. ... #Abdominal #POCUS ... Long #Sagittal #Aorta
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 Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS ... you see on this SC ... effusion/pericardial ... can be seen in tamponade ... Had diagnostic tap-fever
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 Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
valvular rupture, dissection ... of ascending aorta ... pneumothorax, cardiac tamponade ... Classification #Types #diagnosis ... #management #cold
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... pericarditis, Pericardial ... Tamponade ... #Diagnosis #Management
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
valvular rupture, dissection ... of ascending aorta ... pneumothorax, cardiac tamponade ... Classification #types #diagnosis ... #management #criticalcare
Modified dengue severity classification, PAHO/WHO Dengue without warning signs - DNWS: • Person who lives or has
and no apparent focus ... Intense abdominal ... , pericardial effusion ... Shock evidenced ... classification #diagnosis
Pediatric Trauma Primary Survey: C-ABCDE C - Catastrophic Bleeding - Life-threatening hemorrhage • Apply direct pressure/compression bandage
Binder) • Use POCUS ... PTX/HTX and/or pericardial ... tamponade • Decompress ... - Hemorrhagic shock ... Survey #CABCDE #management
Pediatrics Sepsis Screening SIGNS OF INFECTION? • Fever (>38C) • Hypothermia (<36C) • Cough/chest pain/respiratory distress •
respiratory distress • Abdominal ... pain/distention ... SEPSIS/SEPTIC SHOCK ... • Perfusion changes ... Pediatrics #peds #diagnosis
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