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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15 results
Portal Venous Gas on Ultrasound
The most dramatic example I have seen of preterminal systemic intravascular and
Portal Venous Gas ... on Ultrasound ... #VenousGas #Ultrasound ... #Liver #POCUS # ... Clinical #Abdominal
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Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Portal Venous Gas ... air on ultrasound ... , reverb in liver ... Clinical #POCUS #Abdominal ... #Ultrasound
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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
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
Portal venous gas ... on hepatic ultrasound ... ileus), intra-abdominal ... #venousgas #ultrasound ... #hepatology #liver
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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 ... guide etiology & management ... - RUQ ultrasound ... Triglyceride level - Liver ... increase the risk of abdominal
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal ... Day1 Compare to portal ... Portal is Peripheral ... - VCU Ultrasound ... Pneumobilia #air #liver
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Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
(A-F): A - Assess ... Total scores >2 ... bradycardia. renal/liver ... including HTN), and ↑ oral ... CriticalCare #diagnosis #management
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
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Troponin, Lactate, Liver ... (no B-lines on ultrasound ... assessment suggests total ... HeartFailure #Cardiology #Management