Dr. Gerald Diaz @GeraldMD
48.6M 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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POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
POCUS Pearls for ... Effusion - Diastolic ... Right Ventricular ... #Evaluation #Cardiology ... #Ultrasound
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
POCUS Pearls for ... Effusion - Diastolic ... Right Ventricular ... #Evaluation #Cardiology ... #Effusion
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... Right Ventricular ... ” EI > 1 - POCUS ... psax #diagnosis #cardiology ... #pocus
Pericardial effusion with signs of tamponade on POCUS Echocardiogram (S4c)
RA collapse= earliest sign. RV collapse =
Pericardial effusion ... with signs of tamponade ... on POCUS Echocardiogram ... #tamponade #POCUS ... echocardiogram #cardiology
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
- Fusion beats ... - a sinus and ventricular ... - Brugada's sign ... - Josephson's sign ... Versus #ecg #ekg #cardiology
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial Effusion ... sided pericardial effusion ... #tamponade #MyocardialInfarction ... #AMI #POCUS #Echocardiogram ... #ultrasound #Cardiology
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Associated Lung Ultrasound ... Possible bilateral effusion ... Extremities - Right Ventricular ... submassive PE) POCUS ... #Lung #POCUS #ultrasound
Wall Echo Shadow Complex (WES) on Gallbladder Ultrasound

Medical student: “I couldn’t find the gallbladder. I looked
Wall Echo Shadow Complex ... Ultrasound Medical ... WallEchoShadow #WES #Complex ... #Sign #Gallstones ... Cholelithiasis #Clinical #POCUS
Bacterial Constrictive Pericarditis on POCUS Echocardiogram
Presented with heart failure sx, required subxyphoid drain and antibiotics
Note ventricular
Pericarditis on POCUS ... antibiotics Note ventricular ... septal bounce and complex ... effusion - VCU ... Ultrasound @ultrasound_vcu
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
Large pericardial effusion ... expanding pericardial effusion ... • Features of tamponade ... poor prognostic signs ... Infarction #acuteMI #cardiology