22 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... Pulmonary embolism ... #A4c #clinical
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
Pulmonary Embolism ... most support her diagnosis ... #Pulmonary #Embolism ... clinical #ultrasound #echocardiogram ... #a4c #mcconnells
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Embolism The sensitivity ... #EKG #Pulmonary ... #Embolism #AcutePE ... #diagnosis #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Diagnosis? ... ↑ Suspicion -> TEE ... ↑ ESR, CRP • EKG ... #cardiology
Tricuspid valve endocarditis on Echocardiogram
The anterior leaflet is affected.  When in doubt and 3D is
on Echocardiogram ... When in doubt and 3D ... #Echocardiogram ... #clinical #cardiology ... #pocus #a4c
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... with multiple embolic ... block (+/- daily EKG ... #criticalcare #diagnosis
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
Sign on POCUS Echocardiogram ... Diagnosis concerning ... for Pulmonary Embolism ... #Sign #POCUS #Echocardiogram ... #ultrasound #cardiology
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
on POCUS Echocardiogram ... have lung septic emboli ... (see CT cor image ... #clinical #cardiology ... #s4c
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... level <100 pg/ml EKG ... ischemic changes CXR ... embolism • Re-expansion ... #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... See thread for POCUS ... Pulmonary embolism ... #Embolism #ECG