23 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... Pulmonary embolism ... #Embolism #POCUS ... #clinical #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... Pulmonary embolism ... #Embolism #ECG ... #clinical #cardiology
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
illness: Critical ... illness, Sepsis, Pulmonary ... embolism Acute ... Classification #diagnosis ... #cardiology #troponemia
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
system activity, 2. ... lack of acute cardiac ... level <100 pg/ml EKG ... embolism • Re-expansion ... #diagnosis #cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... Embolism, Tension ... Pneumothorax, Cardiac ... ) MAP > 60-65 2) ... ) UOP > 0.5 cc/kg
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
: • New cardiac ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... #management #cardiology
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
Echocardiogram 2 ... diagnoses. ... embolism, but could ... Echocardiogram #clinical ... #cardiology #a4c
McConnell's Sign on POCUS Echocardiogram (A4C)

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

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
2. ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... #Myocarditis #diagnosis ... #management #cardiology
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Diagnosis Framework ... • Malignancy (e.g ... uncommon - 1 to 2% ... patients with pulmonary ... #Diagnosis #cardiology