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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echocardiogram clinical cardiology hocm hypertrophic apical cardiac catheter clot dilated dilatedcm fibrillation impella lowef lvthrombus multiple mural placement positioning pseudoaneurysm
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
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 Multiple LV Thrombi on Echocardiogram Too much of a bad thing - Ivan Stankovic, MD, PhD #Multiple #LV #Thrombi
Multiple LV Thrombi ... #Multiple #LV ... clinical #cardiology #a4c ... #plax #dilated ... #cardiomyopathy
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 LV Thrombus on POCUS (PLAX) 60 yo man with PMH of dilated cardiomyopathy comes to ED with
LV Thrombus on POCUS ... (PLAX) 60 yo ... PMH of dilated cardiomyopathy ... #Ventricular #Wall ... #POCUS #PLAX #Clot
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 What's the LV Mass equation again? Nevermind I think I can eyeball it (PSAX) From what I
What's the LV Mass ... can eyeball it (PSAX ... Clinical #Cardiology #POCUS ... Echocardiogram #PSAX ... #Cardiomyopathy
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 Parasternal LAX view with severe septal thickening in a patient with Hypertrophic CM and obstruction. Given
Parasternal LAX ... Given the severe wall ... #hypertrophic #cardiomyopathy ... #HOCM #HCM #plax ... clinical #cardiology #pocus
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 Septal Hypertrophic Cardiomyopathy (HOCM) 52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) EM resident
Septal Hypertrophic Cardiomyopathy ... echo ==> Septal wall ... MRI (+) septal HCM ... echocardiogram #plax ... #cardiology #pocus
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 Huge mural thrombus occupying 1/3 the LV. MI effecting [LAD territory] In PLAX view, The unechoic line between
occupying 1/3 the LV ... territory] In PLAX ... DD the [apical HOCM ... echocardiogram #pocus ... #a4c
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 Hmm... I wonder why his fingers are black and his feet don't have pulses... Oh well.
Hmm... ... Oh well. ... ... LV Thrombus at the ... IUEM_ultrasound #Clinical #POCUS ... Echocardiogram #A4c
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 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 ... What are the next POCUS ... tests are not POCUS ... #PSAX #clinical
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 Correct Positioning of Impella Catheter (TTE) • Catheter inlet area about 4-4.5 cm the aortic valve • Catheter
area about 4-4.5 cm ... toward the left ventricular ... from the heart wall ... Positioning #placement #pocus ... #plax
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