Dr. Gerald Diaz @GeraldMD
39.6M 14.2K 7.5K
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
Lung and Cardiac Ultrasound ... Exams in COVID- ... phased-array probe and abdominal ... Assess gross LVSF ... LungExam #diagnosis #covid19
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 β€’ Defect in fetal free fatty acid metabolism products β†’
Acute Fatty Liver ... nausea, vomiting, abdominal ... Antithrombin Ill β€’ Ultrasound ... Intrahepatic Cholestasis Management ... obgyn #diagnosis #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... - RUQ ultrasound ... Triglyceride level - Liver ... increase the risk of abdominal ... #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... Severe auto-PEEP, Abdominal ... Differential #Diagnosis #criticalcare ... algorithm #treatment #management
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 β€’ Stand at foot of bed
 β€’ Introduce yourself
β€’ Confirm IV access ... β€’ Concise one-liner ... Response #Team #RRT #Management ... #treatment #criticalcare
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Establish IV/IO Access ... Setup - Ultrasound ... Shock #Diagnosis #Management ... #Summary #criticalcare
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
Diagnosis and Management ... Oxytocin 40 IU in 1 liter ... Using external abdominal ... compression (using ultrasound ... Differential #Diagnosis #Management
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
(A-F): A - Assess ... D - Delirium: assess ... bradycardia. renal/liver ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... Point of Care Ultrasound ... SBP #clinical #ultrasound ... #abdominal #abscess
β–Ί
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
- Ferritin, liver ... function tests - Ultrasound ... Influenza #Checklist #Management ... #CriticalCare