27 results
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
by pulmonary HTN ... which rules out CV fusion ... has Kussmaul's sign ... the underlying diagnosis ... #PhysicalExam #Clinical
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
most support her diagnosis ... enlargement, McConnell sign ... Thrombus #InTransit #clinical ... #ultrasound #echocardiogram ... #a4c #mcconnells
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
shunt (Type 2) Clinical ... Arterial blood gas (ABC ... scanning or pulmonary ... ) on room air Treatment ... #management #treatment
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign ... ) A4c view; RV ... Diagnosis concerning ... for Pulmonary Embolism ... #clinical #ultrasound
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
RV Strain in Pulmonary ... your next step in management ... followed by 90mg iv infusion ... Echocardiogram #clinical ... #ultrasound #DSign
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
: conjunctival suffusion ... failure • Severe pulmonary ... disease ARDS Diagnosis ... Epidemiologic exposure + clinical ... #treatment #management
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... Differential Diaqnoses ... hepatitis • Pulmonary ... : pleural effusion ... #management #treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... importantly, bedside ultrasound ... with presence of pulmonary ... #algorithm #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Full Set of Vital Signs ... Setup - Ultrasound ... Tamponade - Pulmonary ... #criticalcare #treatment
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
knees, shoulders Signs ... nodules, joint effusions ... narrowing) • Ultrasound ... Diagnosis: CLINICAL ... exam and imaging Treatment