9 results
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
Pulmonary Embolism ... most support her diagnosis ... enlargement, McConnell sign ... #Pulmonary #Embolism ... echocardiogram #a4c
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Clinical Features ... Neurological - Cerebral emboli ... #Symptoms #Signs ... #Features #PhysicalExam ... #Diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Differential Diagnosis ... via ASD • Metastatic ... Diagnosis? ... #diagnosis #management
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign ... ) A4c view; RV ... Diagnosis concerning ... for Pulmonary Embolism ... #clinical #ultrasound
Cool echo - RV strain, McConnell sign, and CLOT IN TRANSIT!! BP is normal and pt
strain, McConnell sign ... What's your management ... @eabramsMD #Clinical ... Echocardiogram #A4C ... #Pulmonary #Embolism
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
w/ septic pulmonary ... with multiple embolic ... Internet Book of Critical ... #criticalcare #diagnosis ... #management
McConnell's Sign on POCUS Echocardiogram

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

Epidemiology:
 - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
Marantic Endocarditis ... patients with no signs ... /syrnptoms of embolic ... Clinical Findings ... #Diagnosis #Management