Dr. Gerald Diaz @GeraldMD
30.8M 13.9K 7.3K
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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Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Associated Lung Ultrasound ... sliding/barcode sign ... Consolidations - "Shred" sign ... Embolism (PE): ... #Lung #POCUS #ultrasound
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
is the cardiac ultrasound ... as McConnell's sign ... described for Pulmonary ... Embolism; here ... A4C #McConnells #Sign
POCUS Findings in Acute Pulmonary Embolism
- McConnell's Sign
- TAPSE
- D-Shaped Septum
- Abnormal RV:LV Ratio

#Pulmonary #Embolism #AcutePE
Findings in Acute Pulmonary ... Embolism - McConnell's ... Sign - TAPSE - ... RV:LV Ratio #Pulmonary ... #Embolism #AcutePE
Acute Pulmonary Embolism - Labeled POCUS Findings 

This patient presented with a-fib and shortness of breath.
Acute Pulmonary ... Embolism - Labeled ... embolus. ... #McConnells #Sign ... #Embolism
D-Sign of Acute Pulmonary Embolism on POCUS - Parasternal Short Axis

Acute shortness of breath with this
D-Sign of Acute ... Pulmonary Embolism ... D-sign appreciated ... #AcutePE #Pulmonary ... #Embolism #POCUS
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... embolism. ... RV, McConnell's sign ... #Embolism #POCUS ... cardiology #McConnells #sign
More common & convincing pneumonia mimics 

Aspiration pneumonitis, 
Pulmonary vasculitis, 
Acute eosinophilic pneummia,  
Cryptogeric organizing
pneumonitis, Pulmonary ... of idiopathic pulmonary ... fibrosis (IPF), Pulmonary ... Embolism, Septic ... Pulmonary Emboli
RV Dilatation in Pulmonary Embolism on POCUS - Parasternal Long Axis

Acute shortness of breath with this
Dilatation in Pulmonary ... Embolism on POCUS ... D-sign appreciated ... Dilatation #AcutePE #Pulmonary ... #Embolism #POCUS
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 ... @Pocus101 #DSign ... #Ultrasound #echocardiogram
ECG changes in Pulmonary Embolism
 - 
Sinus tachycardia 
 - 
Complete or incomplete RBBB 
 -
ECG changes in Pulmonary ... Embolism - Sinus ... enlargement (P pulmonale ... - #Pulmonary ... #Embolism #AcutePE