54 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 ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
Myocardial Injury ... non-cardiac illness: Critical ... Sepsis, Pulmonary embolism ... Classification #diagnosis ... #cardiology #troponemia
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... Clinical • ... intolerance • Chest ... #Management #Cardiology
LUMBAR Syndrome

What do you call a segmental lumbosacral hemangioma + spinal problems?? LUMBAR syndrome, a fairly
ensure correct management ... spine + MRI/MRA ... abd/pelvis typically ... LUMBAR #Syndrome #Radiology ... #Diagnosis #Clinical
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Vessel Sign on Chest ... • DDx: Septic emboli ... doi.org/10.1016/j.chest ... Lung #Pulmonary #diagnosis ... #radiology #clinical
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
out pulmonary embolism ... The diagnosis based ... #Clinical #Radiology ... #CTChest #SeptalThickening
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Diagnosis Algorithm ... • Pulmonary Embolism ... • Muscular Injury ... ChestPain #Noncardiac #Cardiology ... #Differential #Diagnosis
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
emboli usually ... can suggest the diagnosis ... in the proper clinical ... #Clinical #Radiology ... #CXR #CTChest #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cause Injury By ... Differential Diagnosis ... Endocarditis Diagnosis ... #Endocarditis #diagnosis ... #management #cardiology
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Radiology • Miliary ... diffuse inhalational injury ... Differential Diagnosis ... #Radiology #differential ... #CXR #clinical