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 POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Pulmonary embolism ... 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 ... Notching - 60/60 Sign ... #Ventricular #cardiology ... #POCUS
D-Sign in Pulmonary Embolism on POCUS Echocardiogram - PSAX

Pt having shortness of breath? POCUS can shed
D-Sign in Pulmonary ... Embolism on POCUS ... POCUS can shed some ... D-sign = high RV ... PSAX #clinical #cardiology
Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
Tamponade Masked in Pulmonary ... Hypertension Signs ... can be masked by pulmonary ... ) #Clinical #POCUS ... #Cardiology #Echocardiogram
RV Failure secondary to Pulmonary Arterial Hypertension on Echocardiogram
Pulmonary arterial hypertension resulting in severe RV dilation
Failure secondary to Pulmonary ... Echocardiogram Pulmonary ... 100% reliable sign ... Echocardiogram #clinical #cardiology ... #s4c #pocus
POCUS Findings in Acute Pulmonary Embolism
- McConnell's Sign
- TAPSE
- D-Shaped Septum
- Abnormal RV:LV Ratio

#Pulmonary #Embolism #AcutePE
POCUS Findings in ... Acute Pulmonary ... RV:LV Ratio #Pulmonary ... AcutePE #Accuracy #POCUS ... #Signs #DSign #
Severe functional TR (w/o color and CW Doppler) on TTE 2D and 3D
How do we estimate
do we estimate Pulmonary ... triangular (V cutoff sign ... #3D #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 ... RV Overload “D Sign ... ” EI > 1 - POCUS ... psax #diagnosis #cardiology ... #pocus
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 of Acute Pulmonary Embolism on POCUS - Parasternal Short Axis

Acute shortness of breath with this
D-Sign of Acute ... Pulmonary Embolism ... on POCUS - Parasternal ... D-sign appreciated ... #Embolism #POCUS