Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis management pocus shock cardiology clinical echocardiogram tamponade pericardial checklist comparison a4c algorithm classification differential malignant types workup activity acute
POCUS Pearls for Tamponade - Pericardial Effusion - Diastolic Right Ventricular Collapse - Systolic Right Atrial Collapse - Plethoric Inferior
- Pericardial Effusion ... @SAlerhand #Cardiac ... Evaluation #Cardiology #Effusion ... Echocardiogram #Ultrasound
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 Cardiac Rupture with Pericardial Effusion Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... with Pericardial Effusion ... sided pericardial effusion ... #pericardial #effusion ... Echocardiogram #ultrasound
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 POCUS Reference Measurements • Gallbladder • Urinary Bladder • GI Tract • Pregnancy • Optic Nerve
Gallbladder • Urinary Bladder ... • Aorta • Cardiac ... #Measurements #Ultrasound
Shock Classification Types - Pathophysiology Comparison Obstructive Shock: • Obstructive shock is characterized by a blockage in
massive pericardial effusion ... , cardiac tamponade ... Tamponade: pericardial effusion ... Signs: Normal cardiac ... Pathophysiology #Comparison #criticalcare
RUSH(ed) Exam - POCUS Protocol Rapid Ultrasound in Shock and Hypotension 1. Parasternal Long Cardiac View 2. Apical Four-Chamber
Protocol Rapid Ultrasound ... Parasternal Long Cardiac ... Apical Four-Chamber Cardiac ... Bladder View 7. ... Protocol #diagnosis #ultrasound
Priority-based management algorithm for the undifferentiated patient in PEA arrest PEA (no pulse by manual palp +
Cardiac POCUS 3 ... Start vasopressor infusion ... activity #management #criticalcare
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Cardiogenic (Intra-cardiac ... Obstructive (Extra-cardiac ... → tension PTX, cardiac ... release syndrome, infusion ... table #comparison #criticalcare
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Consider IL NS/LR infusion ... Setup - Ultrasound ... dilated IVC - Cardiac ... Cardiac surgery? ... Management #Summary #criticalcare
Intra-Aortic Balloon Pump (IABP) Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
sync with the cardiac ... increases coronary perfusion ... coronary artery perfusion ... management #cardiology #criticalcare
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
maintain normal perfusion ... lesions), and cardiac ... Shock #Algorithm #CriticalCare
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