31 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... intolerance • Chest ... Abnormal ECG, echocardiogram ... shock, sudden cardiac ... #Management #Cardiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
What’s the diagnosis ... inability of the right heart ... of right-sided HF ... #physicalexam #clinical ... #video #jvp #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Heart failure with ... Fraction (HFrEF) Clinical ... Chest x-ray: signs ... Consider cardiac ... #management #cardiology
Hemopericardium on POCUS Echocardiogram - Subcostal View

Valentine's day.  Shot through the heart--but not by Cupid.
Shot through the heart ... Diagnosis? ... CT Correlate: https ... #S4C #clinical ... #cardiology #ultrasound
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
blue marks on her chest ... There is an extra heart ... the underlying diagnosis ... PhysicalExam #Video #Clinical ... Pericarditis #Cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
CT scan, if suspect ... fistula causing heart ... telemetry for heart ... Endocarditis #checklist #criticalcare ... #diagnosis #management
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... /w acute right heart ... Diagnosis concerning ... #A4C #clinical ... #ultrasound #cardiology
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Tram Track Sign ... on Chest CT • Parallel ... bronchiectasis, CF ... #diagnosis #radiology ... #clinical
McConnell's Sign on POCUS Echocardiogram - PSAX
Positive McConnell's Sign (hypokinetic RV with apical sparing) indicates acute
on POCUS Echocardiogram ... indicates acute right heart ... infarct & acute chest ... #PSAX #clinical ... #cardiology #labeled
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 ... from acute right heart ... infarct or acute chest ... #clinical #cardiology