Dr. Gerald Diaz @GeraldMD
33.5M 14.0K 7.4K
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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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
β–Ί
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
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 ... and Survey 4) Workup ... Shock #Diagnosis #Management
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
disease - Renal ultrasound ... Duplex Doppler ultrasound ... ; MRA; abdominal ... scan of abdomen/pelvis ... Causes #Screening #Workup
Algorithm Workup and Management of Suspected Uterine Infection
 β€’ Physical Exam, including pelvic exam
 β€’ Vitals,
Algorithm Workup ... and Management ... Exam, including pelvic ... Coagulation studies β€’ Ultrasound ... Uterine #Infection #workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
pericardiocentesis, re-assess ... using ultrasound ... Plan definitive management ... Checklist #Diagnosis #Management ... #Workup
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... to work through ... Assess volume status ... Diagnosis #Treatment #management
GRACE-2 Guidelines for Low-Risk, Recurrent Abdominal Pain in the ED

1) Should adult ED patients with low-risk,
repeat CT abdomen-pelvis ... ultrasound? ... against routine ultrasound ... is concern for pelvic ... Emergency #diagnosis #management
Acute Altered Mental Status - Rapid Response Management

1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
Rapid Response Management ... 1) Ask while ... glucose, security, access ... Diagnosis and Workup ... mental #status #Management
Continuous Positive Airway Pressure in the Neonate

WHY CPAP? 
β€’ Maintain airway patency 
β€’ Helps avoid alveoli
resistance β€’ Improves work ... and fit of the mask ... ears, note any abdominal ... CPAP #Neonate #Management