10 results
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
RUSH(ed) Exam - POCUS ... in Shock and Hypotension ... 1. ... Cardiac View 2. ... DVT depending on clinical
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
with a history of hypertension ... sinus rhythm... 1. ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #cardiology #pocus
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
pulmonary hypertension ... stretched PFO or ASD ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary ... #cardiology #saline
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
septal thickening: 1. ... known carcinoma. 2. ... demarcated secondary lobeles ... #Clinical #Radiology ... #Pulmonary #CTChest
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
Echocardiogram 2 ... strain related to pulmonary ... Echocardiogram #clinical ... #cardiology #a4c ... #labeled
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... Change in clinical ... days before Pulmonary ... one post op Cardiology ... change CV risk Chest
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Differential Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... #clinical #echocardiogram ... #s4c #pocus #bubble
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT chest ... immediate treatment 1. ... CAR-T day 3–10; 2– ... , renal failure, ... pulmonary opacities
Takotsubo Cardiomyopathy on POCUS Echocardiogram

50's male CAP on Day 4 Zpak but worsening-fever, congestion, cough. BP
Apical 2 next. ... Patient has chest ... Echocardiogram #ultrasound ... #Cardiology #a4c ... #clinical
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
clinical judgement ... /50 Rule (part 1) ... second ribs.1 ... /50 Rule (part 2) ... #Radiology #CTChest