11 results
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
on POCUS Echocardiogram ... 2 patients w ... strain related to pulmonary ... #clinical #cardiology ... #a4c #labeled
Cardiac metastasis of lung cancer (2D/3D TTE)

What is the most common type of cancer to metastasize
metastasize (>1/ ... 2 melanoma cases ... metastasis #clinical #cardiology ... #echocardiogram ... #pocus #a4c #3d
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
thromboembolism) 1) ... Transthoracic echocardiogram ... m/s • Other signs ... ventricular septum 2) ... Effect: PATENT-1
RV Failure secondary to Pulmonary Arterial Hypertension on Echocardiogram
Pulmonary arterial hypertension resulting in severe RV dilation
on Echocardiogram ... sign is that the ... #PAH #Echocardiogram ... #clinical #cardiology ... #s4c #pocus
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
sweat Heat Injury ... → Syncope • Signs ... Multi-system illness: 1. ... encephalopathy) 2. ... Emotional instability, Confusion
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
What do you see ... liver disease and pulmonary ... hypertension? ... clinical #pocus #a4c ... intrapulmonary #cardiology
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(1) Thickened ... (2) Lvef 25-30% ... seen in LA by the ... #clinical #cardiology ... #a4c #thrombus
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Management Pneumonia Signs ... /Symptoms: • Confusion ... Egophony (May appear 1- ... low ranging from 2% ... Management #treatment #Pulmonary
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
100 - Consider TEG ... immediate treatment 1. ... 200–300 mL/h) 2. ... CAR-T day 3–10; 2– ... renal failure, pulmonary
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... /50 Rule (part 1) ... and second ribs.1 ... /50 Rule (part 2) ... Pulmonary Contusion