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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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 ... #cardiology #s4c
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
, and left pleural ... echocardiogram ... , left pleural effusion ... #s4c #POCUS #echocardiogram ... #ultrasound #cardiology
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
POCUS Pearls for ... #POCUS #Diagnosis ... #Evaluation #Cardiology ... #Effusion #Echocardiogram ... #Ultrasound
Hematocrit Sign on Lung POCUS
The hematocrit sign refers to the echogenic layering of material in a
material in a pleural ... effusion. ... or a hemothorax ... #ultrasound #pulmonary ... #layering #hemothorax
Hemothorax on Lung POCUS with Spine Sign

GSW to left chest.  Perisplenic window focusing on lower
POCUS with Spine ... Sign GSW to ... Diagnosis? ... with large sub-pleural ... #ultrasound #Pulmonary
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial Effusion ... #tamponade #MyocardialInfarction ... #AMI #POCUS #Echocardiogram ... #ultrasound #Cardiology ... #A4c #clinical
Plankton Sign in Pleural Effusion on Lung POCUS
Typically highly suggestive of hemothorax
In this patient:
  PH
Plankton Sign in ... Pleural Effusion ... on Lung POCUS ... #Pleural #Effusion ... #hemothorax #ultrasound
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
Associated Lung Ultrasound ... A-lines (parietal pleura ... effusion - Reduced ... #differential #diagnosis ... #signs #Lung #POCUS
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
Pericardial Clot on Echocardiogram ... large clot and tamponade ... #Pericardial #effusion ... #POCUS #clinical ... #cardiology #a4c