14 results
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
Pulmonary Embolism ... Which of the following ... #Pulmonary #Embolism ... clinical #ultrasound #echocardiogram ... #a4c #mcconnells
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... See thread for POCUS ... Pulmonary embolism ... #A4c #clinical
Left Ventricular Thrombus Arterial Embolization on Echocardiogram- Caught in Action! 

The TTE was ordered for cardioembolic
on Echocardiogram ... #Thrombus #Embolization ... Clinical #POCUS #echocardiogram ... #Cardiology #A4c ... #Embolism
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... to neurologic injury ... embolus SHUNT ... shunting (eg, atrial ... #Differential #
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Approach to the ... Embolism, Obstructive ... Gradient #alveolar #arterial ... #pulmonary #Hypoxia ... #hypoxemia #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Cause Injury By ... Marantic (NTBE) Differential ... ↑ Suspicion -> TEE
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
Edema (NCPE) - Differential ... Traumatic brain injury ... nervous system injury ... evidence of left atrial ... dyspnea, tachypnea, hypoxemia
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
on Echocardiogram ... (A4C) 48 year ... context of embolism ... are not POCUS: serial ... #A4C #clinical
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
bronchial wall injury ... Chronic cough • Hypoxia ... polycythemia from chronic hypoxia ... CT) • Broncho-arterial ... #differential #
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
quantify renal injury ... coagulopathy) • CBC w differential ... o infection • Echocardiogram ... blood retum in serial ... Renal #Syndromes #differential