13 results
Acute Pulmonary Embolism - Labeled POCUS Findings 

This patient presented with a-fib and shortness of breath.
Acute Pulmonary ... #McConnells #Sign ... Clinical #POCUS #Echocardiogram ... #A4C #Strain #AcutePE
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... (A4C) A4c view ... " c/w acute right ... heart strain). ... #POCUS #Echocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ... EKG #diagnosis #differential
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
women • DDx: Acute ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... T waves - starts ... Interpretation #differential
POCUS driven activation of the thrombectomy lab after we showed these images to the cards fellow
positive McConnell sign ... suggesting right heart strain ... Clinical #POCUS #Echocardiogram ... #A4C #McConnells ... #AcutePE #PulmonaryEmbolism
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
on POCUS Echocardiogram ... typically from acute ... right heart strain ... RV infarct or acute ... clinical #cardiology #a4c
Right Heart Strain on POCUS Echocardiogram - Apical 4 Chamber

To differentiate acute from chronic right heart
on POCUS Echocardiogram ... Chamber To differentiate ... acute from chronic ... use continuous wave ... clinical #cardiology #a4c
This is a parasternal short axis view in a patient with extensive pulmonary emboli on CTA.
evidence of RV strain ... Clinical #POCUS #Cardiac ... #Echocardiogram ... #PSAX #DSign #RVStrain ... #AcutePE #PulmonaryEmbolism
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... Non-neuromuscular disorder (Cardiac ... Impairment: • Acute ... Lack of UMN/LMN signs ... #Weakness #Differential
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... parenchymatous (tabes ... Symptoms: • Acute ... meningeal signs ... CNS #Infections #differential