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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34 results
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 β€’ Record estimated PASP
 β€’ Evaluate RV size
Evaluation of Pulmonary ... Hypertension ... β€’ Evaluate for signs ... for pericardial effusion ... diagnosis #cardiology #echocardiogram
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
Pericardial Clot on Echocardiogram ... severe dyspnoea and hypotension ... hemorrhagic pericardial effusion ... #Pericardial #effusion ... clinical #cardiology #a4c
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Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
massive pericardial effusion ... Echocardiographic Signs ... Pulmonary embolism ... Tamponade: pericardial effusion ... hypovolemia and hypotension
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Pericardiocentesis on POCUS Echocardiogram ... in vitals and shock ... Pericardiocentesis #POCUS #Echocardiogram ... #A4c #clinical ... #cardiology #effusion
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Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... RV, McConnell's sign ... Embolism #POCUS #Echocardiogram ... #A4c #clinical ... cardiology #McConnells #sign
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McConnell's sign is not specific for acute pulmonary embolism, it can also be seen in right
McConnell's sign ... specific for acute pulmonary ... Clinical #POCUS #Echocardiogram ... #A4C #McConnells ... #Sign #InferiorMI
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Acute Pulmonary Embolism - Labeled POCUS Findings 

This patient presented with a-fib and shortness of breath.
Acute Pulmonary ... #McConnells #Sign ... Clinical #POCUS #Echocardiogram ... #A4C #Strain #AcutePE ... #Pulmonary #Embolism
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Pericardial effusion with signs of tamponade on POCUS Echocardiogram (S4c)
RA collapse= earliest sign. RV collapse =
Pericardial effusion ... on POCUS Echocardiogram ... (S4c) RA collapse ... #Pericardial #effusion ... POCUS #clinical #echocardiogram
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Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read more: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5466174/

- VCU Ultrasound
Signs of Tamponade ... hypertension! ... #hypertension # ... pocus #clinical #echocardiogram ... #a4c
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Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... edema - Large effusion ... hypertension Rx ... nitroglycerine infusion ... 20 mg q6hr) - Hypotension