10 results
Pulmonary Embolism on POCUS Echocardiogram

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

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign ... ) A4c view; RV ... concerning for Pulmonary ... Embolism. ... clinical #ultrasound #cardiology
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
McConnell's Sign ... strain related to pulmonary ... embolism, but could ... Echocardiogram #clinical #cardiology ... #a4c #labeled
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
#EKG taken on a ... with an acute pulmonary ... embolism with right ... tachycardia, new right bundle ... #criticalcare #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Cerebral > Splenic, pulmonary ... via ASD • Metastatic ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Noncardiogenic Pulmonary ... level <100 pg/ml EKG ... ischemic changes CXR ... embolism • Re-expansion ... differential #diagnosis #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... Cerebral > Splenic, Pulmonary ... via ASD • Metastatic ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #cardiology
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Tricuspid Valve Endocarditis ... have lung septic emboli ... (see CT cor image ... Echocardiogram #clinical #cardiology ... #s4c
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Abnormalities • Left Bundle ... QRS complex Pulmonary ... Embolism: • T-wave ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... Early transit of bubbles ... stretched PFO or ASD ... clinical #pocus #a4c ... intrapulmonary #cardiology