Dr. Gerald Diaz @GeraldMD
48.5M 14.2K 7.5K
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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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
with Pericardial Effusion ... sided pericardial effusion ... #pericardial #effusion ... MyocardialInfarction #AMI #POCUS #Echocardiogram ... #ultrasound #Cardiology
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Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... of blood, pus, effusion ... thoracotomy is a better treatment ... Plan definitive management ... Anesthesiology #Anesthesia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
β€’ Unexpected cardiac ... surgery. ❷ Call for cardiac ... trolley, anaphylaxis treatment ... require prolonged treatment ... Checklist #Diagnosis #Management
Candidates for Medical Treatment of Ectopic Pregnancy with Methotrexate 
 - Hemodynamically stable 
 - No
Candidates for Medical Treatment ... comply with post-treatment ... - No fetal cardiac ... activity on ultrasound ... Ectopic #Pregnancy #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia
Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... rate, rhythm, perfusion ... hypovolaemia; primary cardiac ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... consider: o Cardiac ... Sepsis β†’ 3-14 o Cardiac ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 β€’ Decompensated cirrhosis
 β€’ Typically with existing
Diagnosis and Management ... infection Mainstay of treatment ... β€’ Maintains cardiac ... HRS #Diagnosis #Management ... #treatment
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
for Crises in Anaesthesia ... anaesthetic (remember infusion ... problem. ❸ Call for cardiac ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment ... mg/kg IV, then infusion ... Consider consulting anesthesia ... #Epilepticus #Treatment ... #Algorithm #Management