16 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... Pulmonary embolism ... #Embolism #POCUS ... #clinical #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Diagnosis? ... ↑ ESR, CRP • EKG ... Leukocytosis, anemia ... #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... See thread for POCUS ... Pulmonary embolism ... #Embolism #ECG ... #clinical #cardiology
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign on POCUS ... Diagnosis concerning ... for Pulmonary Embolism ... #clinical #ultrasound ... #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... with multiple embolic ... Internet Book of Critical ... #criticalcare #diagnosis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... Cerebral > Splenic, Pulmonary ... ↑ ESR, CRP • EKG ... Leukocytosis, anemia ... #cardiology #infectiousdiseases
Pulmonary Embolism on POCUS Echocardiogram

S/p mitral repair and MAZE. Hypotensive dyspneic, lightheaded.
Bedside U/S expediting diagnosis treatment
Pulmonary Embolism ... on POCUS Echocardiogram ... U/S expediting diagnosis ... #Embolism #AcutePE ... #s4c #clinical
Tricuspid valve endocarditis on Echocardiogram
The anterior leaflet is affected.  When in doubt and 3D is
Tricuspid valve endocarditis ... When in doubt and 3D ... Echocardiogram #clinical ... #cardiology #pocus ... #a4c
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Tricuspid Valve Endocarditis ... on POCUS Echocardiogram ... have lung septic emboli ... #clinical #cardiology ... #s4c
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
patients w/ different diagnoses ... strain related to pulmonary ... embolism, but could ... Echocardiogram #clinical ... #cardiology #a4c