Dr. Gerald Diaz @GeraldMD
23.1M 13.7K 7.2K
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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D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload β€œD Sign” EI
D-Sign on Ultrasound ... RV Overload β€œD Sign ... #Ultrasound #echocardiogram ... psax #diagnosis #cardiology ... #pocus
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Echocardiogram ... Triage EKG (no prior ... RV, McConnell's sign ... #Echocardiogram ... A4c #clinical #cardiology
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De Winter's T Waves - Acute Sign of Proximal LAD Occlusion #Diagnosis #Cardiology #EKG #ECG #DeWinters
Waves - Acute Sign ... Occlusion #Diagnosis #Cardiology ... #EKG #ECG #DeWinters
Knuckle Sign on ECG - Acute Pericarditis

Electrocardiogram of a 68-year-old woman two days after coronary artery
Knuckle Sign on ... ECG - Acute Pericarditis ... effusion seen on an echocardiogram ... aVR #Knuckle #Sign ... #Pericarditis #ECG
Taktosubo MIMIC on Echocardiogram A4C

ECG with anterolateral T wave inversions. Acute 99% LAD lesion + 70%
Taktosubo MIMIC on Echocardiogram ... A4C ECG with ... Taktosubo #mimic #Echocardiogram ... occlusion #clinical #pocus ... #cardiology
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Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
- McConnell's Sign ... #RV #Strain #Echocardiogram ... #POCUS #diagnosis ... #Ventricular #cardiology ... #POCUS
Parasternal Short axis, fan proximal and look for Aortic Valve in a plane shows all three
"Mercedes Benz Sign ... Aorta #mercedes #sign ... #Echocardiogram ... #POCUS #Clinical ... #cardiology #PSAX
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Inferior Regional Wall Motion Abnormalities on POCUS Echocardiogram

Older male with chest pain, diaphoresis. ECG with concerning
Abnormalities on POCUS ... Echocardiogram ... ECG with concerning ... #Echocardiogram ... #clinical #cardiology
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Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
in aVR, a true sign ... aVR is a good ECG ... sign of left main ... Clinical #EM #IM #Cardiology ... #EKG #STElevations
Echocardiogram Windows - Nomenclature
Each view is described using three (3) components
1) Transducer Position or "Window"
Echocardiogram Windows ... Imaging Plane, e.g ... Two-chamber #Echocardiogram ... #Nomenclature #POCUS ... #cardiology #views