Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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 - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... on scores and clinical ... class (30-day all cause ... Hemodynamics (Stable ... Transient Hypotension, Shock
Acute Hypoxemia - Differential Diagnosis
 β€’ Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Embolism, Pneumothorax ... Hemorrhage β€’ Impaired Diffusion ... Embolism, Emphysema ... Pressure Vent, pHTN, Shock ... Differential #Diagnosis #causes
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
valvulopathy β€’ Pulmonary ... embolism β€’ Left ... obstruction β€’ Pulmonary ... pancreatitis β€’ Medication ... #causes
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... exacerbation (any cause ... flow) - Massive pulmonary ... embolism - Pericardial ... Classification #Table
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
in blood flow caused ... massive pericardial effusion ... Depends on the cause ... Pulmonary embolism ... Tamponade: pericardial effusion
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Causes of Pleural ... Effusion - Differential ... Malignancy β€’ Pulmonary ... embolism β€’ Collagen ... Post-CABG β€’ Medication
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... Cold and Dry) β€’ Pulmonary ... embolism or severe ... pulmonary hypertension ... warm #wet #dry #table
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... Obstruction (HOCM, critical ... amniotic or fat embolism ... thyrotoxicosis), Medications
RV Thrombus on POCUS Echocardiogram in a patient with Pulmonary Embolism

It's a little fuzzy but if
Thrombus on POCUS Echocardiogram ... a patient with Pulmonary ... Embolism It's ... you'll see the cause ... #POCUS #Clinical
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Left Ventricular Hydatid Cyst on Echocardiogram (A4C)
Illustrative echo-first image showing a large hydatid cyst in the
Hydatid Cyst on Echocardiogram ... Pulmonary embolism ... , anaphylactic shock ... May also cause outflow ... #A4C #clinical
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