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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22 results
Total Anomalous Pulmonary Venous Return (TAPVR)
 β€’ Introduction
 β€’ Classification
 β€’ Pathophysiology of TAPVR
 β€’ Presentation
Total Anomalous Pulmonary ... PVO Present β€’ Diagnosis ... Classic β€œsnowman sign ... Return #TAPVR #diagnosis ... #management #cardiology
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
β€’ Hypoxia β€’ Pulmonary ... β€’ Oxygen β€’ Treatment ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Emphysematous Cystitis
Epidemiology:
 β€’ Usually middle-aged diabetic women
 β€’ Other RF: neurogenic bladder, urinary tract outlet obstruction,
Abdominal or flank ... be present or signs ... ultrasound as initial ... data β€’ Early treatment ... #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... β€’ Obstructive: Pulmonary ... Severe auto-PEEP, Abdominal ... #Differential #Diagnosis ... #management
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 β€’ Defect in fetal free fatty acid metabolism products β†’
nausea, vomiting, abdominal ... Antithrombin Ill β€’ Ultrasound ... ) Differential Diagnosis ... hepatology #obstetrics #obgyn ... #diagnosis #management
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
and Management ... Using external abdominal ... unresponsive to usual treatment ... compression (using ultrasound ... #obgyn
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Full Set of Vital Signs ... Setup - Ultrasound ... Tamponade - Pulmonary ... #criticalcare #treatment
Pseudobladder of large Ovarian Cyst in Torsion on POCUS - Sagittal View

Young female with sudden pelvic
Diagnosis/differential ... double bladder sign ... or female with abdominal ... POCUS #clinical #ultrasound ... #obgyn #gynecology
β–Ί
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... (no B-lines on ultrasound ... Revascularization, treatment ... #HeartFailure #Cardiology ... #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
β€’ Diagnostic ... thoracotomy is a better treatment ... examination and vital signs ... Plan definitive management ... #Management #Workup