11 results
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
Pulmonary Embolism ... most support her diagnosis ... and paradoxical septal ... #Pulmonary #Embolism ... #a4c #mcconnells
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... Ivan_Echocardio #Negative ... #washout #ASD # ... atrial #septal # ... defect #a4c #Echocardiogram
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on POCUS Echocardiogram ... Differential/diagnosis ... #Echocardiogram ... #A4c #clinical
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... (A4C) A4c view ... Diagnosis concerning ... for Pulmonary Embolism ... #A4C #clinical
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... - Differential Diagnosis ... Small secundum ASD ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Coagulase-negative ... Cerebral > Splenic, pulmonary ... Glomerulonephritis Septic ... via ASD • Metastatic ... Substance use: R > L Tricuspid
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
brand name echo contrast ... described for Pulmonary ... Embolism; here ... Clinical #POCUS #Echocardiogram ... #Definity #A4C
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
on POCUS Echocardiogram ... patients w/ different diagnoses ... strain related to pulmonary ... embolism, but could ... clinical #cardiology #a4c
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Transthoracic echocardiogram ... artery pressure via tricuspid ... PPHTN • Peak tricuspid ... m/s • Other signs ... of ventricular septum
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
aureus, Coagulase-negative ... Cerebral > Splenic, Pulmonary ... via ASD • Metastatic ... Septic emboli ... substance use: R > L Tricuspid