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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11 results
AAA Endoleak on POCUS

80 y/o w severe abdominal pain, one year after endoprosthesis stent of an
aneurysm. ... instant diagnosis ... sac. ... AAA #clinical #aorta ... #ultrasound #vascular
β–Ί
Mediastinal Widening - Differential Diagnosis

 β€’ Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
Vascular: Aortic ... anourysm, Enlarged ... ex: duplicated SVC ... #Diagnosis #pulmonary ... #radiology
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 β€’ Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Diagnosis Acute ... Valvuoplasty β€’ Aorta ... Dysfunction Chronic - Aorta ... Aneurysms and Dissection ... #cardiology
Posterior Mediastinal Mass - Differential Diagnosis
 β€’ Neurofibroma
 β€’ Neurosarcoma
 β€’ Neuroblastoma
 β€’ Ganglioneuroma
 β€’ Meningocele
Diagnosis β€’ Neurofibroma ... Chondrosarcoma β€’ Vascular ... aneurysm β€’ Paraspinal ... #Diagnosis #pulmonary ... #radiology #chest
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
the wall of the aorta ... aneurysm 3. ... Pulse deficit/differential ... #Dissection #diagnosis ... #management #vascular
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 β€’ Bronchitis, Bronchiectasis, Malignancy
Diagnosis Framework ... Heart failure Vascular ... AVM, Thoracic aortic ... aneurysm Misc ... #Diagnosis #pulmonary
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... Pulmonary embolism ... Echocardiogram #A4c ... #clinical #cardiology
β–Ί
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 β€’ Advanced age-arteriosclerosis (less compliant arteries)
 β€’ Well
Pulse Pressure - Differential ... Diagnosis Physiologic ... Pathologic: β€’ Valvular ... - Chronic pulmonary ... #cardiology
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
hemochromatosis) Valvular ... Tamponade, pulmonary ... systemic HTN, aortic ... Cardiogenic #Shock #Differential ... #Diagnosis #Cardiology
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
dissection of ascending aorta ... vascular β†’ RV failure ... from massive pulmonary ... Classification #types #diagnosis ... #criticalcare #differential