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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POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
POCUS Pearls for Tamponade ... - Pericardial Effusion ... #POCUS #Diagnosis ... #Echocardiogram ... #Ultrasound
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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
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Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Pericardial Tamponade ... good enough at diagnosing ... Clinical #POCUS #Echocardiogram ... #Cardiac #Tamponade ... #Pericardial #Effusion
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Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
- Differential Diagnosis ... Valvular disease β€’ Tamponade ... Pneumonia β€’ Pulmonary ... Pleura: β€’ Pleural effusion ... #Differential #Diagnosis
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS Echocardiogram ... has pericardial effusion ... can be seen in tamponade ... with similar peri effusion ... Had diagnostic tap-fever
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Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 β€’ Record estimated PASP
 β€’ Evaluate RV size
Evaluation of Pulmonary ... for pericardial effusion ... Shah @HFpEF #Pulmonary ... Echocardiography #diagnosis ... #cardiology #echocardiogram
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Associated Lung Ultrasound ... Possible small plural effusion ... Possible bilateral effusion ... #differential #diagnosis ... #Lung #POCUS #ultrasound
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
What's the Diagnosis ... hemopericardium and tamponade ... Aortic #Aorta #Echocardiogram ... PLAX #Clinical #Ultrasound
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One-page resource for Lung POCUS in COVID19:
- likely (unproven) sensitive due to peripheral distribution of lesions
CT - pleural effusions ... #coronavirus #pulmonary ... #ultrasound #diagnosis
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 β€’ Obstructive shock is characterized by a blockage in
, cardiac tamponade ... Pulmonary embolism ... Tamponade: pericardial ... effusion, small ... #criticalcare #diagnosis