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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clinical pocus cardiology management workup anesthesia anesthesiology intraoperative fibrillation s4c tamponade ventricular vfib akinesia anaphylaxis anterior cabg crisis criticalcare definity
Cardiac Rupture with Pericardial Effusion Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial Effusion ... MyocardialInfarction #AMI ... #POCUS #Echocardiogram ... #ultrasound #Cardiology ... #A4c #clinical
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 Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... examination and vital signs ... tamponade recurs. ❿ Plan ... specialist referral. ⓫ Plan ... Intraoperative #Checklist
Anterior Akinesia on POCUS Echocardiogram Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
Wide complex ... Diagnosis? ... Consistent with AWMI ... Hypokinesis #RWMA #PLAX ... #ultrasound #Cardiology
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 Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Full Set of Vital Signs ... Setup - Ultrasound ... Shock - MI ... Cardiac surgery?
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... • Plan for repeat ... feasible (Box B). ⓭ Plan ... Intraoperative #Checklist ... #Diagnosis #Management
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
Here is the cardiac ... ultrasound. ... right ventricular MI ... Clinical #POCUS #Echocardiogram ... #Definity #A4C
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 Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
rise is a late sign ... dantrolene and cardiac ... see Box D). ⓭ Plan ... Intraoperative #Checklist ... #Diagnosis #Management
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis 50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... Wide complex rhythm ... Consistent with AWMI ... Fibrillation #VFib #PSAX ... #ultrasound #Cardiology
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 Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber 50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... Wide complex rhythm ... Consistent with AWMI ... Fibrillation #VFib #S4C ... #ultrasound #Cardiology
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 CABG Graft Pseudoaneurysm Chest pain post CABG - always worth taking a look! Large graft pseudoaneurysm!!
encounter challenging cardiac ... chest showed the diagnosis ... anticoags - VCU Ultrasound ... clinical #pocus #echocardiogram ... #s4c
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