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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27 results
Pelvic Intraabdominal Abscess on POCUS
Fever, low BP with lower abd pain x 8 days-worsening. WBC-28.9K. Pelvis
Pelvic Intraabdominal ... Abscess on POCUS ... appendicitis with intra-abdominal ... #clinical #Abdominal ... #Ultrasound
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Causes of Low Back Pain - Differential Diagnosis
Intrinsic Spine: Lumbar strain, Herniated nucleus pulposus, Compression fracture,
Causes of Low Back ... β€’ Vascular - abdominal ... herpes zoster; β€’ Pelvic ... Differential #Diagnosis #causes ... #primarycare #msk
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Rapid Response Management ... 1) Ask for vitals ... Examine for a cause ... #Hypotension #Management ... #criticalcare #
Hypoxemia and Dyspnea - Rapid Response Management

1) Ask for vitals en route
2) Stabilize: Nasal canula 
3)
Rapid Response Management ... 1) Ask for vitals ... the underlying cause ... Hypoxemia #Dyspnea #Management ... #criticalcare #
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
Causes of Secondary ... disease - Renal ultrasound ... Duplex Doppler ultrasound ... ; MRA; abdominal ... scan of abdomen/pelvis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
or iatrogenic causes ... pericardiocentesis, re-assess ... using ultrasound ... Plan definitive management ... Checklist #Diagnosis #Management
There are multiple sites in which IO access can be obtained

Proximal humerus – insert about 1
sites in which IO access ... those involving abdominal ... and bypass the pelvic ... and abdominal vessels ... Lines #Locations #Management
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
gas on hepatic ultrasound ... ischemia, perforated peptic ... ileus), intra-abdominal ... variety of other causes ... portal #venousgas #ultrasound
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Navigating a Rapid Response Team (RRT)

Assert Leadership:
 β€’ Stand at foot of bed
 β€’ Introduce yourself
RRT leader β€’ Ask ... Assessment: β€’ Ask ... β€’ Confirm IV access ... Response #Team #RRT #Management ... #treatment #criticalcare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... - RUQ ultrasound ... increase the risk of abdominal ... #CriticalCare