11 results
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Differential Diagnosis ... Elevations - ACUTE ... ) - BRUGADA SIGN ... - TRAUMATIC BRAIN ... SPIKED HELMET SIGN
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
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
new/old infarct STEMI ... women • DDx: Acute ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... Interpretation #differential
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign ... sparing ("McConnell Sign ... " c/w acute right ... heart strain). ... #McConnells #Sign
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... STE: "Pardee's sign ... (Eiffel Tower sign ... STElevation #ST #STEMI
POCUS driven activation of the thrombectomy lab after we showed these images to the cards fellow
positive McConnell sign ... suggesting right heart strain ... #A4C #McConnells ... #Sign #RV #Dilatation ... #AcutePE #PulmonaryEmbolism
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
McConnell's Sign ... with McConnell sign ... ) A McConnell sign ... right heart strain ... #McConnells #Sign
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
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