11 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... have no pain - LAD ... - proximal LAD ... #EKG #diagnosis ... electrocardiogram #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... 1. ... main coronary artery ... failure, and death. 2. ... #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
at (or 40-60 ms after ... 2 mm ST elevation ... in aVR • Posterior ... #EKG #diagnosis ... #differential #cardiology
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
2 patients w ... / different diagnoses ... from acute right heart ... #clinical #cardiology ... #a4c #labeled
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
disease, left heart ... artery pressure ... m/s • Other signs ... artery diameter ... ventricular septum 2)
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... to workup right-heart ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
QRS complex Pulmonary ... elevation seen > 2 ... • Epicardial artery ... #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 ... 1. ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary ... #cardiology #saline
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
immediate treatment 1. ... 200–300 mL/h) 2. ... CAR-T day 3–10; 2– ... renal failure, pulmonary ... Oncology #HemeOnc #Diagnosis