12 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... See thread for POCUS ... #A4c #clinical ... #cardiology #McConnells
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
on Echocardiogram ... had gained 15 kg ... expiration not meeting diagnostic ... #a4c #pocus #clinical ... #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... • Chest pain, pericarditis ... tachycardia • S3, S4 ... gallop • Abnormal ECG ... , echocardiogram
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
on POCUS Echocardiogram ... on this SC image ... Had diagnostic tap-fever ... #clinical #cardiology ... #A3C #SeptalBounce
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
shock, Arrythmias, Pericarditis ... , Tamponade EKG ... agent, steroids, AC ... #Myocarditis #diagnosis ... #summary #biopsy
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Differential Diagnosis ... ↑ Suspicion -> TEE ... ↑ ESR, CRP • EKG ... #management #cardiology
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
Diagnosis Summary ... greater than 0.20 sec ... #cardiology #ekg ... #ecg #diagnosis ... classification #summary
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Endocarditis on POCUS Echocardiogram ... have lung septic emboli ... (see CT cor image ... #clinical #cardiology ... #s4c
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... depression Pericarditis ... complex Pulmonary Embolism ... #differential #diagnosis ... #cardiology #ecg
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... See thread. ... getting 12 lead ECG ... Fibrillation #VFib #S4C ... #ultrasound #Cardiology