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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Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial ... larger right sided pericardial ... #pericardial #effusion ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical
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On the left another patient with a large cardiac silhouette on the chest x-ray due to
patient with a large cardiac ... silhouette on the chest ... CT-reconstruction #Clinical ... #Radiology #CXR ... #CTChest #Cardiomegaly
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... of dyspnea and chest ... #Cardiac #Tamponade ... #Becks #Triad #Diagnosis ... #Cardiology
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (A4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... Effusion causing Cardiac ... Echocardiogram (A4c ... #Tamponade #clinical ... echocardiogram #POCUS #cardiology
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Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. Source: Fanaroff AC, Rymer
Source: Fanaroff AC ... This Patient With Chest ... : The Rational Clinical ... #Cardiology #ACS ... Atypical #ChestPain #Cardiac
Hemorrhagic Pericardial Effusion with Tamponade on POCUS

In an unstable pt w/ chest trauma, subxiphoid view FIRST!

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Hemorrhagic Pericardial ... unstable pt w/ chest ... Effusion #Tamponade #Cardiac ... #POCUS #cardiology ... #clinical #s4c
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Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
Cardiac incisura ... right side of the chest ... since the heart or pericardial ... #Clinical #Radiology ... #CXR #Lateral #Cardiac
Hemopericardium on POCUS Echocardiogram - Subcostal View

Valentine's day.  Shot through the heart--but not by Cupid.
Pericardial window ... Diagnosis? ... small amount of pericardial ... Echocardiogram #S4C ... #clinical #cardiology
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Myocarditis
Diagnosis 
β€’ Endomyocardial biopsy (gold standard, rarely performed) 
β€’ Clinical presentation 
β€’ Cardiovascular MRI 
Clinical 
β€’
Myocarditis Diagnosis ... performed) β€’ Clinical ... intolerance β€’ Chest ... shock, sudden cardiac ... #Management #Cardiology
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (S4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... Effusion causing Cardiac ... Echocardiogram (S4c ... #Tamponade #clinical ... echocardiogram #POCUS #cardiology
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