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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Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... and Bloating - Treatment ... Dyssynergia Diagnostics ... Distension #Bloating #Management ... #Diagnosis #Algorithm
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Associated Lung Ultrasound ... sliding/barcode sign ... #differential #diagnosis ... #signs #Lung #POCUS ... #ultrasound #findings
COVID-19 Diagnosis and Management Summary
Clinical and laboratory testing
Lung Ultrasound
HRCT scan
In-hospital treatment
Severity assessment and respiratory support 
Post-mortem
COVID-19 Diagnosis ... and Management ... testing Lung Ultrasound ... #Management #Summary ... #treatment
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
Abdominal or flank ... be present or signs ... ultrasound as initial ... data • Early treatment ... #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... • Obstructive: Pulmonary ... Severe auto-PEEP, Abdominal ... #Differential #Diagnosis ... #management
Total Anomalous Pulmonary Venous Return (TAPVR)
 • Introduction
 • Classification
 • Pathophysiology of TAPVR
 • Presentation
Total Anomalous Pulmonary ... PVO Present • Diagnosis ... Classic “snowman sign ... Total #Anomalous #Pulmonary ... Return #TAPVR #diagnosis
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... hypertension Management ... • Oxygen • Treatment ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Dengue Fever - Diagnosis and Management Summary 
Dengue Fever → Dengue Hemorrhagic Fever →Dengue Hemorrhagic Shock
Dengue Fever - Diagnosis ... and Management ... Tourniquet test, Abdominal ... pain, Myalgia Diagnosis ... 7 days (Ig)M Treatment
Hemothorax on Lung POCUS with Spine Sign

GSW to left chest.  Perisplenic window focusing on lower
POCUS with Spine Sign ... Diagnosis? ... #POCUS #Spine #Sign ... #clinical #ultrasound ... #Pulmonary
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Extrapulmonary manifestations of COVID-19
 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke
 • Renal:
Nausea/vomiting, Abdominal ... vein thrombosis, Pulmonary ... ischemia, Acute cor pulmonale ... Extrapulmonary #Diagnosis ... #Signs #Symptoms