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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Lemierre’s Syndrome - Clinical Presentation

97% have septic emboli to the lungs!  So look for pneumonia,
Lemierre’s Syndrome ... 97% have septic emboli ... to the lungs! ... #Presentation #Signs ... #Symptoms #Diagnosis
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 Embolism ... #Pulmonary #Embolism ... AcutePE #Accuracy #POCUS ... Diagnosis
Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Transverse View

Male with high fever and right
on Neck POCUS with ... Differential/diagnosis ... Had septic emboli ... in lungs ... Thrombosis #RIJ #Neck #POCUS
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Differential/diagnosis ... RV, McConnell's sign ... #POCUS #Echocardiogram ... cardiology #McConnells #sign
Lemierre’s Syndrome - Pathophysiology

Lemierre’s is an infectious thrombophlebitis of the internal jugular vein.

 - It starts
Lemierre’s Syndrome ... Pathophysiology Lemierre ... there, septic emboli ... in the liver, lungs ... Pathophysiology #Diagnosis
Acute Pulmonary Embolism - Labeled POCUS Findings 

This patient presented with a-fib and shortness of breath.
Acute Pulmonary Embolism ... - Labeled POCUS ... This POCUS illustrates ... #McConnells #Sign ... #Echocardiogram
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 ... AcutePE #Pulmonary #Embolism ... #POCUS #PSAX #Echocardiogram
RV Dilatation in Pulmonary Embolism on POCUS - Parasternal Long Axis

Acute shortness of breath with this
Dilatation in Pulmonary Embolism ... on POCUS - Parasternal ... Long Axis Acute ... D-sign appreciated ... #POCUS #PLAX #Echocardiogram
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... ” EI > 1 - POCUS ... #Ultrasound #echocardiogram ... #psax #diagnosis ... #cardiology #pocus
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
sliding/barcode sign ... sliding Pulmonary Embolism ... submassive PE) POCUS ... #differential #diagnosis ... #signs #Lung #POCUS