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 anesthesia anesthesiology clinical intraoperative cardiology tamponade a4c pericardial criticalcare malignant constrictive crisis differential pericarditis pulmonary s4c treatment
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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 Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension • Record estimated PASP • Evaluate RV size
Checklist for the ... • Evaluate for signs ... for pericardial effusion ... Hypertension #PH #Checklist ... diagnosis #cardiology #echocardiogram
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... of blood, pus, effusion ... examination and vital signs ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Full Set of Vital Signs ... Consider IL NS/LR infusion ... Setup - Ultrasound ... and Survey 4) Workup ... Cardiac surgery?
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... is unconscious, signs ... Stop or rapidly complete ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Pericarditis on Echocardiogram ... ASA, Kussmaul's sign ... transthoracic echocardiogram ... to workup right-heart ... circumferential pericardial effusion
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 Bacterial Constrictive Pericarditis on POCUS Echocardiogram Presented with heart failure sx, required subxyphoid drain and antibiotics Note ventricular
Pericarditis on POCUS Echocardiogram ... septal bounce and complex ... effusion - VCU ... Ultrasound @ultrasound_vcu ... Pericarditis #POCUS #Echocardiogram
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 Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
in Anaesthesia Signs ... anaesthetic (remember infusion ... problem. ❸ Call for cardiac ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... of more of the signs ... surgery. ❷ Call for cardiac ... Intraoperative #Checklist ... Diagnosis #Management #Workup
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