13 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c #clinical ... #sign #ClotInTransit
#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 ... in V1 - V4 #Clinical ... #criticalcare #cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
based on TTE, TEE, CT ... prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis ... #diagnosis #differential ... scoring #criteria #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... via ASD • Metastatic ... Diagnosis? ... ↑ ESR, CRP • EKG ... #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... w/ septic pulmonary ... with multiple embolic ... Internet Book of Critical ... #criticalcare #diagnosis
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
patient who had a CT ... to rule out pulmonary ... embolism. ... The diagnosis based ... #Clinical #Radiology
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Sign on Chest CT ... • Distinct pulmonary ... • DDx: Septic emboli ... #diagnosis #radiology ... #clinical
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... Cerebral > Splenic, Pulmonary ... via ASD • Metastatic ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... #Embolism #ECG ... #clinical #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... QRS complex Pulmonary ... Embolism: • T-wave ... #differential #diagnosis ... #cardiology #ecg