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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Focused POCUS Lung and Cardiac Ultrasound Exams in COVID-19 Patients
1. Turn machine on / Enter patient
Focused POCUS Lung ... and Cardiac Ultrasound ... Exams in COVID- ... phased-array probe and abdominal ... Assess gross LVSF
Focused Assessment with Sonography for HIV/TB - The FASH Exam

The main objective of the FASH exam
Focused Assessment ... effusions, enlarged abdominal ... focal spleen and liver ... #Examination #Focused ... #Assessment #Ultrasound
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Peritonitis (SBP) on Abdominal ... Diverticular abscess ... Peritonitis #SBP #Abdominal ... POCUS #clinical #ultrasound ... Pneumoperitoneum #Complex #Ascites
β–Ί
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 β€’ Defect in fetal free fatty acid metabolism products β†’
nausea, vomiting, abdominal ... develops (DIC, ascites ... Antithrombin Ill β€’ Ultrasound ... Intrahepatic Cholestasis Management ... obgyn #diagnosis #management
Cirrhosis, ascites, edematous gallbladder wall and a gallstone on Abdominal Ultrasound - POCUS 

Dr. J. Christian
Cirrhosis, ascites ... a gallstone on Abdominal ... Ultrasound - POCUS ... #Cirrhosis #Liver ... #Ultrasound #POCUS
β–Ί
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication β†’ Pre-test Probability β†’ Spectrum of Disease β†’
for POCUS with a focused ... & Specificity Assess ... #Stewardship #ultrasound ... #management #diagnosis
There are multiple sites in which IO access can be obtained

Proximal humerus – insert about 1
There are multiple sites ... in which IO access ... those involving abdominal ... the pelvic and abdominal ... Lines #Locations #Management
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... s/p colectomy, liver ... Point of Care Ultrasound ... SBP #clinical #ultrasound ... #abdominal #abscess
β–Ί
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 β€’ Calculate absolute PMN count (total WBC x PMN %)
 β€’ Correct
by inoculating ascitic ... signs (fever, abdominal ... Diuretics ↑ ascitic ... dL and advanced liver ... SBP #diagnosis #management
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
β€’ Person who lives ... and no apparent focus ... Intense abdominal ... accumulation (ascites ... Liver enlargement