9 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... anterior wall MI ... period without chest ... #Diagnosis #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... intolerance • Chest ... gallop • Abnormal ECG ... #Management #Cardiology
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... : weight gain, lung ... Chest x-ray: signs ... of CXR congestion ... #management #cardiology
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... renal failure Clinical ... CXR finding) ... anterior/posterior MSK ... #Management #Signs
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... one post op Cardiology ... unless prior heart/lung ... medical and surgical management ... stratification #diagnosis
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
features on the chest ... In daily clinical ... chronic obstructive lung ... #Diagnosis #Radiology ... #CHF #CXR #Stages
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... x-ray (CXR), try ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary