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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26 results
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 ... #Ultrasound #echocardiogram ... #psax #diagnosis ... #cardiology #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 ... #Echocardiogram ... A4c #clinical #cardiology
Signs of Pulmonary Hypertension on Chest CT
 • Main PA is dilated and larger than the
Signs of Pulmonary ... Carina crossover sign ... of the carina (caudal ... @PulmPEEPs #Pulmonary ... #cardiology #diagnosis
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
Regurgitation - Elevated Pulmonary ... #RV #Strain #Echocardiogram ... #POCUS #diagnosis ... #Ventricular #cardiology ... #POCUS
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... ("Terry Thomas sign ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
Total Anomalous Pulmonary Venous Return (TAPVR)
 • Introduction
 • Classification
 • Pathophysiology of TAPVR
 • Presentation
Total Anomalous Pulmonary ... PVO Present • Diagnosis ... Classic “snowman sign ... Outcomes by Cara ... #management #cardiology
D-Sign in Pulmonary Embolism on POCUS Echocardiogram - PSAX

Pt having shortness of breath? POCUS can shed
D-Sign in Pulmonary ... Echocardiogram ... D-sign = high RV ... #POCUS #Echocardiogram ... PSAX #clinical #cardiology
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
commonly fractured carpal ... dislocation • ED Management ... #Radiology #XRay ... #Diagnosis #Management ... Orthopedics #Sports #MSK
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Echocardiogram ... Diagnosis? ... Management? ... #ultrasound #Cardiology