11 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 ... #A4c #clinical ... #cardiology #McConnells
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... intolerance • Chest ... gallop • Abnormal ECG ... , echocardiogram ... #Management #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
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Tram Track Sign ... extending to the lung ... bronchiectasis, CF ... #diagnosis #radiology ... #clinical
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
(a4c) It belongs ... Long chronic severe ... ASD with R/L shunting ... #Echocardiogram ... #clinical #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... edema, and clear lungs ... expiration not meeting diagnostic ... #a4c #pocus #clinical ... #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... : weight gain, lung ... HFrEF may lack lung ... Chest x-ray: signs ... #management #cardiology
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 ... infarct or acute chest ... #clinical #cardiology ... #a4c #labeled
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
also demonstrate signs ... dependent part of the lungs ... the differential diagnostic ... #Clinical #Radiology ... #CTChest #CHF #
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... Change in clinical ... one post op Cardiology ... unless prior heart/lung ... stratification #diagnosis