Dr. Gerald Diaz @GeraldMD
48.7M 14.2K 7.5K
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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20 results
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 ... ” EI > 1 - POCUS ... #Ultrasound #echocardiogram ... #psax #diagnosis ... #cardiology #pocus
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Echocardiogram ... Differential/diagnosis ... RV, McConnell's sign ... #Echocardiogram ... A4c #clinical #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
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Echocardiogram ... Diagnosis? ... Management? ... #ultrasound #Cardiology
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Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... to diagnosis scapholunate ... ("Terry Thomas sign ... Scaphoid #Carpal #Radiology ... #Sports #MSK
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
Look for other signs ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... Wrist #Carpal #Radiology ... #XRay #Diagnosis ... #Sports #MSK
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Pericarditis on Echocardiogram ... ASA, Kussmaul's sign ... expiration not meeting diagnostic ... #a4c #pocus #clinical ... #cardiology
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Supracondylar Elbow Fracture
β€’ Most common elbow fracture in children, peak age 5-7 
β€’ When looking at
anterior sail sign ... can't make A-OK sign ... Elbow #Humerus #Radiology ... #XRay #Diagnosis ... #MSK