15 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... Initial workup: • EKG
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... 's female with chest ... Triage EKG (no prior ... RV, McConnell's sign ... cardiology #McConnells #sign
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... ., A-Fib also a ... #EKG #Pulmonary ... #diagnosis #cardiology
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... Stable Angina • Acute ... Chest Wall Abnormalities ... Embolism* • Pulmonary ... #Algorithm #Causes
McConnell's Sign on POCUS Echocardiogram - PSAX
Positive McConnell's Sign (hypokinetic RV with apical sparing) indicates acute
McConnell's Sign ... Positive McConnell's Sign ... embolism in the ... chest syndrome. ... #McConnells #Sign
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism

In contrast to the
Infarction and Pulmonary ... Embolism In contrast ... life-threatening causes ... Pericarditis #Symptoms #Signs ... comparison #Table #Diagnosis
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
sliding/barcode sign ... Consolidations - "Shred" sign ... the severity Acute ... Embolism (PE): ... #differential #diagnosis
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
- Differential Diagnosis ... of acute respiratory ... infiltrates on chest ... Embolism: • Acute ... multiple smaller emboli
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
McConnell's Sign ... with McConnell sign ... ) A McConnell sign ... embolism, but could ... chest in pts with
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
is a radiologic sign ... may aid in the diagnosis ... of pulmonary embolism ... In this case, pulmonary ... with chest CT angiography