D-Sign in a lady with Massive PE - The LV should always ...

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D-Sign in a lady with Massive PE - The LV should always be round like a doughnut (“O”-shaped). When ↑ pulmonary pressures overwhelm the RV, the septum gives way and flattens out. LV takes shape of a Capital “D" ! - Sam Ghali @EM_RESUS

#Clinical #POCUS #Cardiac #Echocardiogram #PSAX #DSign #MassivePE #PulmonaryEmbolism

Contributed by

Dr. Priyanka Teckchandani

@DrTeck

GrepMed Pulmonary and Critical Care Editor - Academic Hospitalist UC Davis Medical Center Internal Medicine, Pulmonary and Critical Care Medicine Fellow UC Irvine ‘22

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