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†’
nausea, vomiting, abdominal ... Antithrombin Ill β€’ Ultrasound ... infiltration) Differential ... Intrahepatic Cholestasis Management ... obgyn #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver ... Severe auto-PEEP, Abdominal ... Sophia_Hayes_MD #Shock #Differential ... algorithm #treatment #management
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
gas on hepatic ultrasound ... reflection on the differential ... ileus), intra-abdominal ... portal #venousgas #ultrasound ... #hepatology #liver
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Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
Postpartum Hemorrhage - Differential ... Diagnosis and Management ... Oxytocin 40 IU in 1 liter ... Using external abdominal ... compression (using ultrasound
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... - RUQ ultrasound ... Triglyceride level - Liver ... increase the risk of abdominal
Liver Abscess and Mimics - Differential Diagnosis
Most Common: Polymicrobial, E Coli, Klebsiella, Strep/Enterococcus, Staph, Anaerobes
Infectious Differential:
Liver Abscess and ... Mimics - Differential ... Kumfer @AnnKumfer #Liver ... #Abscess #Differential ... Diagnosis #hepatology #management
Ventilator Alarms
Increased Rate - Patient is tiring on a weaning mode or experiencing pain/anxiety
 - Reassess
decrease PRN - Assess ... thenursealyx - http://covid19 ... MechanicalVentilation #Nursing #Differential ... #Diagnosis #Management
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
approach to the differential ... Assess volume status ... include vaptans (HF/liver ... #Hyponatremia #Differential ... Diagnosis #Treatment #management
Gallbladder Sludge ball on POCUS
Can mimic GB mass. Assess mobility & vascularity to differentiate.

Dr. Mohammed Alshamsi
Assess mobility ... vascularity to differentiate ... POCUS #clinical #ultrasound ... RUQ #clinical #abdominal
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