9 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: 'signet ring sign ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic ... #Comparison #Table
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... demarcated secondary lobeles ... #Clinical #Radiology ... #Pulmonary #CTChest ... #Comparison #Table
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... NodularPattern #Differential ... #Comparison #Table
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... without associated pulmonary ... #Clinical #Diagnosis ... #Radiology #CTChest ... Cyst #Emphysema #Comparison
McConnell's Sign on POCUS Echocardiogram - PSAX
Positive McConnell's Sign (hypokinetic RV with apical sparing) indicates acute
McConnell's Sign ... highly specific for pulmonary ... infarct & acute chest ... Echocardiogram #PSAX #clinical ... #cardiology #labeled
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
strain related to pulmonary ... infarct or acute chest ... Echocardiogram #clinical ... #cardiology #a4c ... #labeled
McConnell's sign on POCUS Echocardiogram

An otherwise healthy male presents with pleuritic chest pain.  
Hypokinetic RV
McConnell's sign ... with pleuritic chest ... likely from a pulmonary ... Echocardiogram #clinical ... #cardiology #labeled
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... Vital signs: BP ... This patient’s clinical ... #Radiology #CTChest