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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133 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... Pulmonary embolism ... Echocardiogram #A4c #clinical
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Hyponatremia - Differential ... Diagnosis Algorithm ... • Drugs • Pulmonary ... Uosm < 100 mmol/kg ... #Differential #
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... Internet Book of Critical ... #Endocarditis #checklist ... #criticalcare #diagnosis
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
Checklist for the ... Evaluation of Pulmonary ... shunt lesions) • Differentiate ... Shah @HFpEF #Pulmonary ... Echocardiography #diagnosis
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
approach to AKI - Checklist ... FENa) could help differentiate ... performance for diagnosing ... PulmCrit #AKI #Checklist ... AcuteKidneyInjury #Nephrology
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
fibrillation Clinical ... Osborn #JWave #Diagnosis ... #Differential # ... Cardiology #EKG ... #ECG #Hypothermia
False Positive Lung Point on POCUS
Lung-Cardiac Point and Lung-Diaphragm Point
These images highlight selected differentials to pleural
Lung Point on POCUS ... #clinical #lungcardiac ... lungdiaphragam #ultrasound #pulmonary ... #differential # ... diagnosis #mimics
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Diagnostic approach ... - CBC with differential ... as clinically indicated ... (e.g. echocardiogram ... , EKG) Dr.
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Checklist for Evaluation ... - CBC with differential ... Relevant drug levels (e.g ... nonconvuIsive status #Checklist ... #CriticalCare #Diagnosis
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... Diagnosis by Mechanism ... hemorrhage) - Pulmonary ... #Hyponatremia #Differential ... #Diagnosis #Table