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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clinical echocardiogram a4c cardiology pericardial diagnosis tamponade ultrasound classification trauma comparison criticalcare differential management table malignant signs thrombus types amyloidosis
Takotsubo Cardiomyopathy on POCUS Echocardiogram Patient is in shock. POCUS RUSH exam shows the shock is cardiogenic.
Takotsubo Cardiomyopathy ... Patient is in shock ... POCUS RUSH exam ... shows the shock ... Echocardiogram #A4c
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 Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
massive pericardial effusion ... , cardiac tamponade ... Tamponade: pericardial effusion ... Signs: Normal cardiac ... infarction. end-stage cardiomyopathy
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... Cold and wet) • Cardiomyopathic ... infarction, following cardiac ... pneumothorax, cardiac ... Cold and Dry) • Hemorrhagic
Shock Types - Classification State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... Cold and Wet): • Cardiomyopathic ... infarction, following cardiac ... pneumothorax, cardiac ... Cold and Dry): • Hemorrhagic
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Hypotension / Shock ... oral intake • Hemorrhage ... Cardiogenic: • Cardiomyopathy ... • Neurogenic shock ... Obstructive: • Cardiac
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Classification of Shock ... Hypovolemic shock ... overdiuresis - Hemorrhage ... Anaphylaxis - Post-cardiac ... - Takotsubo cardiomyopathy
Hemorrhagic Pericardial Effusion with Tamponade on POCUS In an unstable pt w/ chest trauma, subxiphoid view FIRST! -
Hemorrhagic Pericardial ... Effusion with Tamponade ... on POCUS In ... #Tamponade #Cardiac ... #clinical #s4c
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 FAST - Cardiac Tamponade - Torn atrial appendage. WCUME 2017 Submission for Best POCUS - Massive hemopericardium
FAST - Cardiac Tamponade ... Submission for Best POCUS ... #Peds #Trauma #POCUS ... Echocardiogram #SC4C ... #Hemorrhagic #Tamponade
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 Cardiac Rupture with Pericardial Effusion Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial Effusion ... sided pericardial effusion ... #pericardial #effusion ... MyocardialInfarction #AMI #POCUS ... ultrasound #Cardiology #A4c
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 Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... dilated IVC - Cardiac ... collapsible IVC - Hemorrhagic ... >7 - Non-hemorrhagic ... Cardiac surgery?
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