Dr. Gerald Diaz @GeraldMD
32.8M 13.9K 7.4K
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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Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
Pericardial Clot ... severe dyspnoea and hypotension ... DrRajeshG1 #Pericardial ... Echocardiogram #POCUS ... clinical #cardiology #a4c
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Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
Shock Classification ... caused by a massive pericardial ... Pulmonary embolism ... Tamponade: pericardial ... hypovolemia and hypotension
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Pericardiocentesis on POCUS ... in vitals and shock ... Pericardiocentesis #POCUS ... Echocardiogram #A4c ... cardiology #effusion #pericardial
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Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
dissection of ascending aorta ... Cold and Dry) β€’ Puimonary ... failure from massive pulmonary ... embolism or severe pulmonary ... hypertension β€’
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
dissection of ascending aorta ... Cold and Dry) β€’ Pulmonary ... failure from massive pulmonary ... embolism or severe pulmonary ... hypertension
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
RUSH(ed) Exam - POCUS ... Ultrasound in Shock ... and Hypotension ... Pulmonary View ... Pulmonary View
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Pericarditis on POCUS ... Also has pericardial ... effusion/pericardial ... Hypertensive without ... Pericarditis #CP #POCUS
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Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Management Summary β€’ Hypotension ... possible w/ early shock ... pericarditis, Pericardial ... Tamponade - Pulmonary
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 ... NagdevArun #Acute #Pulmonary ... TPA #clinical #a4c
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Severe Pulmonary Hypertension on Echocardiogram
Pulmonary hypertension results in compensatory changes to the RV. The RV appears
Severe Pulmonary ... Hypertension on ... hypertension results ... rectangular (from A4C ... clinical #cardiology #pocus
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