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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45 results
Pulmonary Artery Catheter Pressures
Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2
HFrEF,
25, PCWP 8-12, Cardiac ... Right-to-Left Shunt Tamponade ... /Constrictive or ... #Hemodynamics #Cardiology ... #diagnosis
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... concerning for cardiac ... pericardial #effusion #tamponade ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical
β–Ί
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
POCUS Pearls for Tamponade ... Vena Cava #Cardiac ... #Tamponade #POCUS ... #Diagnosis #Evaluation ... #Cardiology #Effusion
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... Absent y descent - Cardiac ... tamponade #Abnormal ... #Differential #Diagnosis ... #PhysicalExam #cardiology
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
POCUS Pearls for Tamponade ... @SAlerhand #Cardiac ... #Tamponade #POCUS ... #Diagnosis #Evaluation ... #Cardiology #Effusion
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Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Constrictive Pericarditis ... can be seen in tamponade ... Had diagnostic tap-fever ... Echocardiogram #clinical #cardiology ... #A3C #SeptalBounce
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Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... expiration not meeting diagnostic ... criteria (D) a ... Echocardiogram #a4c ... pocus #clinical #cardiology
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Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Shock Differential Diagnosis ... Obstructive: β€’ Cardiac ... tamponade β€’ Tension ... pneumothorax β€’ Constrictive ... #Differential #Diagnosis
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Constrictive Pericarditis ... Answer: patient has constrictive ... and hepatic vein criteria ... Echocardiogram #clinical #cardiology ... #s4C #SeptalBounce
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Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Artery #ECG #EKG #Diagnosis ... #Electrocardiogram ... #Cardiology #Criteria