Dr. Gerald Diaz @GeraldMD
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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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19 results
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... fracture β€’ ED Management ... Splint: Posterior long ... #XRay #Diagnosis ... #Management #Orthopedics
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... edema, and clear lungs ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #cardiology
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Hemopericardium on POCUS Echocardiogram - Subcostal View

Valentine's day.  Shot through the heart--but not by Cupid.
Diagnosis? ... Echocardiogram #S4C ... #clinical #cardiology ... #ultrasound #Pericardial ... #Effusion #Trauma
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Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Checklist Evaluation ... 1 β€” Treat the lungs ... edema - Large effusion ... (no B-lines on ultrasound ... #HeartFailure #Cardiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... examination and vital signs ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Chest X-ray and lung ... ultrasound (exclude ... Pyridostigmine - New diagnosis ... monitoring (vital signs ... #Management #CriticalCare
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
in Anaesthesia Signs ... inform immediate clinical ... ensure adequate lung ... Intraoperative #Checklist ... #Diagnosis #Management
VSD on Newborn POCUS Echocardiogram (A4C)
Term newborn presents with irritability and increased work of breathing. Bedside
resolution: Patient had signs ... copious B lines on lung ... University of Michigan Ultrasound ... Echocardiogram #pediatrics #clinical ... #cardiology #a4c
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Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
. ❼ Use rapid infusion ... interventional radiology ... an appropriate clinical ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... Stop or rapidly complete ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management