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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Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c #clinical ... cardiology #McConnells #sign
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Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Differential Bilat ... : Pulmonary edema ... partially seen shred sign ... NOT definitively diagnose ... #POCUS #clinical
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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Syndrome – ARDS: Clinical ... leading to increased pulmonary ... consistent with pulmonary ... detected on CT or CXR ... Summary #CheatSheet #Diagnosis
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
the chest film (Table ... In daily clinical ... chronic obstructive lung ... #Diagnosis #Radiology ... #CHF #CXR #Stages
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Chest X-ray and lung ... Phos), CBC with differential ... Pyridostigmine - New diagnosis ... monitoring (vital signs ... MyastheniaGravis #Checklist #Management
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
and Management ... the duodenum Clinical ... Signs/Symptoms: ... • Should be on differential ... no matter how long
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... cardiomyopathy • Pulmonary ... Clinical • Under-recognized ... Delivery • Stable ... support for patients clinically
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... systemic sx + signs ... very remarkable w/differential ... GCA #Temporal #Signs ... #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
of more of the signs ... arrest, start CPR ... as patient is stable ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... exam findings and clinical ... a chest x-ray (CXR ... not seen on a CXR