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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14 results
Lung ultrasound pathology in a COVID-19 positive patient
 - Few B-lines (vertical white lines)
 - Confluent
Small Tiny Pleural Effusions ... viamdinh #COVID19 #POCUS ... #Clinical #Lung ... #Coronavirus #Table
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IDSA Algorithm for the Initial Management of Fever and Neutropenia

LOW RISK
 β€’ Antidpated neutropenia < 7
IDSA Algorithm for ... the Initial Management ... stable and no medical ... >7 days or β€’ Clinically ... #Management
Hemorrhagic Pericardial Effusion with Tamponade on POCUS

In an unstable pt w/ chest trauma, subxiphoid view FIRST!

-
with Tamponade on POCUS ... In an unstable ... pt w/ chest trauma ... #cardiology #clinical ... #s4c #trauma
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Efforts to standardize the approach to trauma have led to an algorithmic, thoughtless approach to trauma
have led to an algorithmic ... prioritized as the critical ... teaching is that unstable ... observation of an unstable ... #Management #Trauma
Malignant Pericardial Effusion on POCUS

Stable vitals, mild shortness of breath, h/o metastatic breast CA, with obvious
Malignant Pericardial Effusion ... on POCUS Stable ... , with obvious effusion ... Echocardiogram #POCUS ... #Clinical
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Resequenced Trauma Resuscitation Algorithm

Two categories of immediate life-threats in trauma:

1. Massive external hemorrhage

2. Critical airway compromise
Resuscitation Algorithm ... resuscitation should focus ... definitive airway management ... #Algorithm #Diagnosis ... #Management
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Definition: State ... diminished tissue perfusion ... commonly due to trauma ... Types #diagnosis #management ... warm #wet #dry #table
Hemopericardium on POCUS after Stab Wound

Stab wound to chest:
Blood clot ==> echos. 
Hemopericardium ==> Easily Missed
Hemopericardium on POCUS ... Missed Echogenic Effusion ... Hemopericardium #POCUS ... echocardiogram #trauma ... #stab #clinical
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RV wall perforation from pacer wire on POCUS

Patient with severe chest pain since last night. SC
pacer wire on POCUS ... no pericardial effusion ... Vitals stable. ... echocardiogram #clinical ... #s4c #effusion
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Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 β€’ Apply direct pressure/compression bandage
Pediatric Trauma ... Binder) β€’ Use POCUS ... hemodynamically unstable ... #Pediatrics #Trauma ... Survey #CABCDE #management