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 diagnosis effusion pericardial differential plax ultrasound algorithm malignant shock 3d comparison complex contrast criticalcare embolism hypertension hypertrophic
Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
in blood flow caused ... tamponade, or tension ... Depends on the cause ... Pulmonary embolism ... infarction. end-stage cardiomyopathy
Pericardial effusion with signs of tamponade on POCUS Echocardiogram (S4c) RA collapse= earliest sign. RV collapse =
of tamponade on ... POCUS Echocardiogram ... (S4c) RA collapse ... echocardiogram #cardiology ... #s4c
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 Non-lschemic Causes of Cardiogenic Shock: Beta-Blockers, Calcium Channel Blockers, Digoxin Myocarditis Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, hemochromatosis) Valvular
Non-lschemic Causes ... Hypertrophic Cardiomyopathy ... dysfunction Tamponade ... , pulmonary HTN, ... Differential #Diagnosis #Cardiology
Causes of Dyspnea - Differential Diagnosis Algorithm Cardiac: • Dysrhythmia • Ischemia • Cardiomyopathy • Valvular disease
Causes of Dyspnea ... Diagnosis Algorithm Cardiac ... • Ischemia • Cardiomyopathy ... Valvular disease • Tamponade ... Diagnosis #Algorithm #Causes
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Cardiogenic: • Cardiomyopathy ... valvulopathy • Pulmonary ... Obstructive: • Cardiac ... tamponade • Tension ... Algorithm #shock #causes
Tamponade Masked in Pulmonary Hypertension Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
in Pulmonary Hypertension ... Signs of Tamponade ... ) #Clinical #POCUS ... #Cardiology #Echocardiogram ... #A4C #Cardiac #
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 Cardiac Rupture with Pericardial Effusion Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... pericardial #effusion #tamponade ... MyocardialInfarction #AMI #POCUS ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical
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 Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Pulmonary Embolism ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology ... #McConnells #sign
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 Restrictive Cardiomyopathy - Diagnosis and Causes Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema) Physical
Diagnosis and Causes ... Descents, Rales,+S4 ... Echocardiography, Cardiac ... #Diagnosis #Causes ... #differential #cardiology
Extrapulmonary manifestations of COVID-19 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke • Renal:
vein thrombosis, Pulmonary ... thrombosis • Cardiac ... : Takotsubo cardiomyopathy ... injury/myocarditis, Cardiac ... Extrapulmonary #Diagnosis #Signs
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