Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Pulmonary Embolism on Multiple POCUS Windows
Is your patient's hemodynamic deterioration a consequence of pulmonary embolism? Triangulate
Pulmonary Embolism ... on Multiple POCUS ... - Dilated RV (PLAX ... Flattening and Ventricular ... AcutePE #clinical #POCUS
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RV Dilatation in Pulmonary Embolism on POCUS - Parasternal Long Axis

Acute shortness of breath with this
Dilatation in Pulmonary ... Embolism on POCUS ... bulging septum on PLAX ... #Embolism #POCUS ... #CriticalCare
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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 ... bulging septum on PLAX ... #Embolism #POCUS ... #CriticalCare
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D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload β€œD Sign” EI
Ultrasound Right Ventricular ... ” EI > 1 - POCUS ... echocardiogram #psax ... #diagnosis #cardiology ... #pocus
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Shock Differential Diagnosis ... valvulopathy β€’ Pulmonary ... embolism β€’ Left ventricular ... obstruction β€’ Pulmonary ... tamponade β€’ Tension pneumothorax
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
of Acute Right Ventricular ... Regurgitation - Elevated Pulmonary ... Echocardiogram #POCUS ... #diagnosis #Right ... #POCUS
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Ultrasound Findings Pneumothorax ... Extremities - Right Ventricular ... submassive PE) POCUS ... #differential #diagnosis ... #signs #Lung #POCUS
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
- Differential Diagnosis ... flow) - Massive pulmonary ... tamponade - Tension pneumothorax ... #Differential #Diagnosis ... Classification #Table #CriticalCare
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
and Differential Diagnosis ... , CVP > 12 β€’ Pulmonary ... Embolism, Tension Pneumothorax ... #Differential #Diagnosis ... #Types #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
embolism or severe pulmonary ... venous return/ventricular ... filling) β†’ tension pneumothorax ... Classification #types #diagnosis ... #management #criticalcare