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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cardiology criticalcare embolism ultrasound classification fibrillation management plax undifferentiated ventricular vfib a4c algorithm bilateral blines cardiac cardiomyopathy clotintransit curves ecg
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Differential Diagnosis ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... pancreatitis • Medication ... #shock #causes
Shock - Differential Diagnosis by Classification Hypovolemic (Intravascular volume depletion) - Hemorrhagic • Trauma
Shock - Differential ... Diagnosis by Classification ... exacerbation (any cause ... flow) - Massive pulmonary ... #Table #CriticalCare
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Shock - Differential ... Diagnosis by Classification ... depletion - Medication ... #Syncope #Differential ... #Table #Causes
Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Pulmonary Embolism ... on POCUS Echocardiogram ... Differential/diagnosis ... #Echocardiogram ... #A4c #clinical
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 Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features • Bova score
on scores and clinical ... class (30-day all cause ... Hemodynamics (Stable ... Transient Hypotension, Shock ... prognostication #diagnosis
UNDIFFERENTIATED SHOCK 1. Echo is a powerful differentiator 2. Echo ALL shock patients! Sam Ghali @EM_RESUS #Clinical #POCUS #Echocardiogram
UNDIFFERENTIATED SHOCK ... Ghali @EM_RESUS #Clinical ... #POCUS #Echocardiogram ... #Differential # ... Table #Undifferentiated
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 Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
Undifferentiated Shock ... Cardiac Tamponade, Pulmonary ... Obstruction (HOCM, critical ... thyrotoxicosis), Medications ... #diagnosis #differential
Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... Differential Bilat ... /lung sliding: Pulmonary ... NOT definitively diagnose ... #clinical #ultrasound
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 Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... cardiomyopathy • Pulmonary ... Clinical • Under-recognized ... Pts: cardiogenic shock
Intracardiac Rhabdomyomas on Echocardiogram Huge cardiac masses...initially diagnosed in utero, mass just beneath the aortic valve Anguished
Rhabdomyomas on Echocardiogram ... Huge cardiac masses ... ...initially diagnosed ... completely stable ... #pocus #plax
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