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 Echocardiography - Table of Cardiac Views and Windows
 • Parastemal Long-Axis View (PLAX)
 • Parasternal
Long-Axis View (PLAX ... Parasternal Short-Axis (PSAX ... -Chamber View (A4C ... Long Axis • PSAX ... (SSN) View • PSAX
Myocarditis on Echocardiogram
It is always great to witness the tremendous reversal of severe biventricular dysfunction from
reversal of severe biventricular ... #Myocarditis #plax ... #psax #a4c #Echocardiogram ... clinical #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 ... RV Overload “D Sign ... ” EI > 1 - POCUS ... #psax #diagnosis
Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no
Ventricular Fibrillation ... SC from first break ... Fine Vfib can be ... #PSAX #POCUS #Echocardiogram ... #ultrasound #Cardiology
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Ventricular Fibrillation ... Fine Vfib can be ... #Fibrillation #VFib ... #S4C #POCUS #Echocardiogram ... #ultrasound #Cardiology
LV Pseudoaneurysm

• False “pseudo” aneurysm: rupture w/ blood contained *outside* wall layers. (case below)

• True aneurysm:
Pseudoaneurysm #Ventricular ... #Clinical #POCUS ... #CardiacMRI #PSAX ... #A4C #Echocardiogram
Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between
Huge mural thrombus ... territory] In PLAX ... EchoAshwag #Mural #Thrombus ... echocardiogram #pocus ... #a4c
Air gap sign: loss of cardiac image during systole in Pneumopericardium
Interesting observation –loss of cardiac window
Air gap sign: loss ... echocardiogram #a4c ... #plax #pocus #airgap ... #sign
VSD on Newborn POCUS Echocardiogram (A4C)
Term newborn presents with irritability and increased work of breathing. Bedside
Echocardiogram (A4C ... resolution: Patient had signs ... University of Michigan Ultrasound ... MaizeandLube #VSD #ventricular ... clinical #cardiology #a4c
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
is the cardiac ultrasound ... as McConnell's sign ... see it in right ventricular ... #Clinical #POCUS ... Echocardiogram #Definity #A4C