17 results
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
Pulmonary Embolism ... with IVC Thrombus ... most support her diagnosis ... #InTransit #clinical ... echocardiogram #a4c
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
specific to NBTE, and diagnosis ... demonstration of platelet thrombi ... high index of clinical ... is required for diagnosis ... NBTE #Marantic #diagnosis
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... POCUS (apical window ... Echocardiogram #A4c ... #clinical #cardiology
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
and likely to embolize ... demonstration of platelet thrombi ... high index of clinical ... is required for diagnosis ... NBTE #Marantic #diagnosis
Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between
Huge mural thrombus ... the clot is very clear ... DD the [apical HOCM ... #clinical #cardiology ... echocardiogram #pocus #a4c
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
) A4c view; RV ... hypokinesis with apical ... Diagnosis concerning ... for Pulmonary Embolism ... #clinical #ultrasound
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
with multiple embolic ... • Aggressive management ... Internet Book of Critical ... #criticalcare #diagnosis ... #management
Cool echo - RV strain, McConnell sign, and CLOT IN TRANSIT!! BP is normal and pt
What's your management ... @eabramsMD #Clinical ... Echocardiogram #A4C ... Sign #Pulmonary #Embolism ... #Thrombus #Clots
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... most common (63%) Clinical ... dysfunction paralysis Diagnosis ... Epidural #Abscess #diagnosis ... #management
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
patients w/ different diagnoses ... demonstrate an apical ... related to pulmonary embolism ... Echocardiogram #clinical ... #cardiology #a4c