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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Pulmonary Embolism on Multiple POCUS Windows
Is your patient's hemodynamic deterioration a consequence of pulmonary embolism? Triangulate
- Dilated RV (PLAX ... Hyperdynamic Underfilled LV ... Flattening and Ventricular ... Interdependence (PSAX ... #AcutePE #clinical
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
D-Sign of Acute Pulmonary Embolism on POCUS - Parasternal Short Axis

Acute shortness of breath with this
Pulmonary Embolism ... dilation but also LV ... bulging septum on PLAX ... appreciated on PSAX ... #POCUS #PSAX #Echocardiogram
RV Dilatation in Pulmonary Embolism on POCUS - Parasternal Long Axis

Acute shortness of breath with this
Long Axis Acute ... dilation but also LV ... bulging septum on PLAX ... appreciated on PSAX ... #POCUS #PLAX #Echocardiogram
McConnell's sign is not specific for acute pulmonary embolism, it can also be seen in right
not specific for acute ... pulmonary embolism ... seen in right ventricular ... Ivan_Echocardio #Clinical #POCUS ... Echocardiogram #A4C
LV Thrombus on POCUS (PLAX)

60 yo man with PMH of dilated cardiomyopathy comes to ED with
LV Thrombus on POCUS ... (PLAX) 60 yo ... mass attached to LV ... #Ventricular #Wall ... #POCUS #PLAX #Clot
Left Ventricular Thrombus Arterial Embolization on Echocardiogram- Caught in Action! 

The TTE was ordered for cardioembolic
Left Ventricular ... Thrombus Arterial ... #Clinical #POCUS ... echocardiogram #Cardiology #A4c ... #Embolism
LV Pseudoaneurysm

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

• True aneurysm:
LV Pseudoaneurysm ... 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 ... occupying 1/3 the LV ... territory] In PLAX ... echocardiogram #pocus ... #a4c
Cardiac LV Thrombus on Echocardiogram Short-Axis View (PSAX)
48 year old woman in ICU for acute ischemic
Cardiac LV Thrombus ... Short-Axis View (PSAX ... woman in ICU for acute ... the context of embolism ... #PSAX #clinical