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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106 results
Pericardial Constriction on Echocardiogram with Septal Bounce

Fantastic example of pericardial constriction. Not only a nice septal
Pericardial Constriction ... constriction. ... #Constriction # ... Echocardiogram #clinical #cardiology ... #POCUS #a4c #bounce
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Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
on POCUS Echocardiogram ... Also has pericardial ... effusion/pericardial ... Echocardiogram #clinical #cardiology ... #s4C #SeptalBounce
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Pathophysiology Of Constriction
Exaggerated Ventricular Interdependence:
 • Limited Cardiac Filling due to Fixed Volume → Septum Shifts
Interdependence: • Limited Cardiac ... Cessation due to Stiff Pericardium ... structures and extra- pericardial ... transmitted to the extra-pericardial ... pathophysiology #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... circumferential pericardial ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
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Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial ... #pericardial #effusion ... MyocardialInfarction #AMI #POCUS ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical
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Pericardial effusion with signs of tamponade on POCUS Echocardiogram (S4c)
RA collapse= earliest sign. RV collapse =
Pericardial effusion ... on POCUS Echocardiogram ... (S4c) RA collapse ... echocardiogram #cardiology ... #s4c
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Constrictive Pericarditis on Echocardiogram - Apical 4 Chamber View
Constrictive pericarditis with Septal bounce, ventricular interdependence

Dr. James
Constrictive Pericarditis ... Chamber View Constrictive ... Pericarditis #clinical #pocus ... echocardiogram #a4c ... #cardiology
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Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
on POCUS Echocardiogram ... you see on this SC ... Also has pericardial ... effusion/pericardial ... Echocardiogram #clinical #cardiology
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Kussmaul's sign - JVP

This patient has Kussmaul's sign, an increase in apparent JVP/CVP with inspiration. While
Kussmaul's sign ... has Kussmaul's sign ... associated with constrictive ... pressure loaded RV - cardiomyopathy ... #Neck #Veins #Cardiology
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Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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Kussmaul's Sign ... No constriction! ... DDx includes constriction ... , restrictive cardiomyopathy ... clinical #video #jvp #cardiology
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