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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D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload β€œD Sign” EI
D-Sign on Ultrasound ... Right Ventricular ... RV Overload β€œD Sign ... #Ultrasound #echocardiogram ... psax #diagnosis #cardiology
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
- Pericardial Effusion ... Diastolic Right Ventricular ... Diagnosis #Evaluation #Cardiology ... #Effusion #Echocardiogram ... #Ultrasound
β–Ί
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
of Acute Right Ventricular ... - McConnell's Sign ... Regurgitation - Elevated Pulmonary ... #RV #Strain #Echocardiogram ... #cardiology #POCUS
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 ... Extremities - Right Ventricular ... #Lung #POCUS #ultrasound
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
- Fusion beats ... - a sinus and ventricular ... - Brugada's sign ... - Josephson's sign ... Versus #ecg #ekg #cardiology
Right pleural effusion with "spine sign" seen beautifully by using large footprint curvilinear transducer on lung
Right pleural effusion ... with "spine sign ... Point of Care Ultrasound ... Lung #Pleural #Effusion ... #ultrasound #pulmonary
β–Ί
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
and left pleural effusion ... -chamber POCUS echocardiogram ... #s4c #POCUS #echocardiogram ... POCUS #clinical #ultrasound ... #cardiology
β–Ί
Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of
Spine sign: visualization ... indicative of pleural effusion ... absence of pleural effusion ... #Pulmonary #Lung ... #Ultrasound
McConnell's sign is not specific for acute pulmonary embolism, it can also be seen in right
McConnell's sign ... specific for acute pulmonary ... seen in right ventricular ... Clinical #POCUS #Echocardiogram ... A4C #McConnells #Sign
β–Ί
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 β€’ Record estimated PASP
 β€’ Evaluate RV size
Evaluation of Pulmonary ... β€’ Evaluate for signs ... for pericardial effusion ... Echocardiography #diagnosis #cardiology ... #echocardiogram