Dr. Gerald Diaz @GeraldMD
32.7M 13.9K 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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10 results
Aspiration of MTP Gout Effusion

Good to the last drop. In-plane ultrasound guided aspiration to maximize fluid
Gout Effusion ... In-plane ultrasound ... #Gout #Effusion ... clinical #pocus #ultrasound ... #msk #toe
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MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... without using ultrasound ... MSU crystals=Gout ... #Gout #Effusion ... #MSK #Toe
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MCP Synovitis on Ultrasound
Young rheumatology patient. Florid synovitis of the MCP joint with effusion on dynamic
Ultrasound Young ... joint with effusion ... on dynamic ultrasound ... Synovitis #Metacarpal #MSK ... Clinical #Joint #Effusion
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CALMER: A Talking Map for COVID-Related Proactive Planning
 Check in 
 Ask about COVID
 Lay out
CALMER: A Talking Map ... Check in Ask ... about COVID Lay out ... SHARE: A Talking Map ... Resource #Allocation #Management
MTP Septic arthritis due to non-tuberculous mycobacterium without effusion
We had an immunosuppressed patient with a concerning
MTP Septic arthritis ... concerning 1st MTP ... History of gout. ... 1) even with gout ... arthritis 3) ultrasound
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Wrist Effusion on POCUS

Walking a Resident through how to use PoCUS to locate a wrist effusion
Wrist Effusion on ... locate a wrist effusion ... Step guide coming out ... #POCUS #MSK #clinical ... #ultrasound
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Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... edema - Large effusion ... β€” Optimize the MAP ... (no B-lines on ultrasound ... HeartFailure #Cardiology #Management
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... SBP drop >40, MAP ... Consider IL NS/LR infusion ... Setup - Ultrasound ... Shock #Diagnosis #Management
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Point of Care Ultrasound ... response to the rapid infusion ... a decrease in MAP ... comparison #challenges #management
Continuous Positive Airway Pressure in the Neonate

WHY CPAP? 
β€’ Maintain airway patency 
β€’ Helps avoid alveoli
and fit of the mask ... - Monitor HR. perfusion ... E - look out for ... CPAP #Neonate #Management