58 results
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
with IVC Thrombus ... most support her diagnosis ... #IVC #Thrombus ... #InTransit #clinical ... echocardiogram #a4c
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
Upper Lobe Lung Diseases - STAR CHASERS Mnemonic

S - Silicosis
T - Tuberculosis
A - Ankylosing Spondylitis
R -
• Lymphatics clear ... apices caused by ... in fibrobulous apical ... Pulmonary Diseases ... #differential #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
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Adult-Onset Still's Disease ... Clinical triad ... Differential Diaqnoses ... hepatitis • Pulmonary ... #diagnosis #management
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... Vessels Thrombi ... Vessels Thrombi ... have inoperable disease ... #management
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
failure • Severe pulmonary ... disease ARDS Diagnosis ... Epidemiologic exposure + clinical ... #microbiology #diagnosis ... #treatment #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Toxins/Medications, Spinal ... , Severe Valve Disease ... • Obstructive: Pulmonary ... algorithm #treatment #management
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
Pott's Disease in Tuberculosis - Diagnosis and Management Summary
Epidemiology:
 - Typically from TB endemic areas
 -
Pott's Disease in ... extrapulmonary cases Clinical ... symptoms of active pulmonary ... for concomitant pulmonary ... CMC_IM #Potts #Disease