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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POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
Diastolic Right Ventricular ... Collapse - Plethoric Inferior ... Diagnosis #Evaluation #Cardiology ... #Effusion #Echocardiogram ... #Ultrasound
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
POCUS Pearls for Tamponade ... Diastolic Right Ventricular ... Collapse - Plethoric Inferior ... Diagnosis #Evaluation #Cardiology ... #Effusion
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
Pericardial Clot on Echocardiogram ... large clot and tamponade ... #clot #thrombus ... #Echocardiogram ... POCUS #clinical #cardiology
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
Large pericardial effusion ... expanding pericardial effusion ... • Features of tamponade ... • Stasis and thrombus ... associated with thrombus
POCUS Echocardiography - Table of Cardiac Views and Windows
 • Parastemal Long-Axis View (PLAX)
 • Parasternal
Long-Axis View (PLAX ... View • Right Ventricular ... View (A4C) • Inferior ... #Cardiac #TTE #Echocardiogram ... Echocardiography #Cardiology
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 ... #echocardiogram ... #psax #diagnosis ... #cardiology #pocus
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial Effusion ... sided pericardial effusion ... #tamponade #MyocardialInfarction ... #AMI #POCUS #Echocardiogram ... #ultrasound #Cardiology
Anterior Regional Wall Motion Abnormality on POCUS Echocardiogram 
PSLA window from echocardiogram done on admission of
Anterior Regional ... RWMA anterior wall ... No pericardial effusion ... #ultrasound #Cardiology ... #PLAX #clinical
Anterior Regional Wall Motion Abnormality on POCUS Echocardiogram - PSAX
PSLA window from echocardiogram done on admission
Anterior Regional ... - PSAX PSLA window ... No pericardial effusion ... #ultrasound #Cardiology ... #PSAX #clinical
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
to SAM on POCUS Echocardiogram ... #Systolic #Anterior ... #HOCM #POCUS #Echocardiogram ... #ultrasound #Cardiology ... #PLAX #clinical