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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14 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology ... #McConnells #sign
McConnell's sign is not specific for acute pulmonary embolism, it can also be seen in right
McConnell's sign ... specific for acute pulmonary ... seen in right ventricular ... Echocardiogram #A4C ... #McConnells #Sign
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
Septal Motion - McConnell's ... Regurgitation - Elevated Pulmonary ... #diagnosis #Right ... #Ventricular #cardiology ... #POCUS
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... Right Ventricular ... ” EI > 1 - POCUS ... #psax #diagnosis ... #cardiology #pocus
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
is the cardiac ultrasound ... for Pulmonary Embolism ... see it in right ventricular ... #Clinical #POCUS ... #McConnells #Sign
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Associated Lung Ultrasound ... Extremities - Right Ventricular ... #differential #diagnosis ... #signs #Lung #POCUS ... #ultrasound #findings
Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late
ratio > I .0, and McConnell ... sign (arrow), four ... acceleration time of pulmonary ... Transthoracic #Diagnosis ... RightVentricular #Cardiology
Constrictive Pericarditis on Echocardiogram

Patient was referred to cardiology for evaluation of dyspnea. JVP was enough to
Constrictive Pericarditis ... was enough to diagnose ... and Kussmaul’s sign ... Echocardiogram #POCUS ... #a4c
Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
Hypertension Signs ... PMC5466174/ - VCU Ultrasound ... ) #Clinical #POCUS ... #Cardiology #Echocardiogram ... #A4C #Cardiac #