Dr. Gerald Diaz @GeraldMD
40.0M 14.2K 7.5K
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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Signs of Pulmonary Hypertension on Chest CT
 • Main PA is dilated and larger than the
Signs of Pulmonary ... Carina crossover sign ... @PulmPEEPs #Pulmonary ... ChestCT #CTChest #Radiology ... #cardiology #diagnosis
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... RV Overload “D Sign ... ” EI > 1 - POCUS ... echocardiogram #psax #diagnosis ... #cardiology #pocus
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Sister had MI in ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
- McConnell's Sign ... Regurgitation - Elevated Pulmonary ... #diagnosis #Right ... #Ventricular #cardiology ... #POCUS
Total Anomalous Pulmonary Venous Return (TAPVR)
 • Introduction
 • Classification
 • Pathophysiology of TAPVR
 • Presentation
Total Anomalous Pulmonary ... PVO Present • Diagnosis ... Classic “snowman sign ... Return #TAPVR #diagnosis ... #management #cardiology
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid - Diagnosis ... and Management ... Amyloidosis #Cardiac #Diagnosis ... #Stages #Management ... #Cardiology #Staging
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock - Diagnosis ... and Management ... Studies • POCUS ... Management: • ... #Management #cardiology
Hand Arthritides - Differential Diagnosis by Location and Features

The Painful Hand!  Wish I would’ve thought
- Differential Diagnosis ... prior to my first MSK ... #Differential #Diagnosis ... #Location #MSK ... #Radiology #Map
Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
aka Pawnbroker's Sign ... Right paratracheal and ... #Pawnbrokers #Sign ... #clinical #radiology ... #pulmonary #sarcoidosis
There are about a dozen x-ray findings, but two of them are especially important: Loss of
aortic knob/aortic-pulmonary ... window and the ... calcium sign. ... #Clinical #Diagnosis ... #Radiology #CXR