14 results
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
Cannon A waves during ... EKG of the same ... to diagnose the ... excludes other differentials ... that’s called “clinical
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... #A4c #clinical
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 ... #EKG #diagnosis ... #differential #
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #EKG #diagnosis ... Interpretation #differential
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
X-ray - Lung ultrasound ... - CBC with differential ... as clinically indicated ... (e.g. echocardiogram ... , EKG) Dr.
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
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... Diagnosis concerning ... #POCUS #Echocardiogram ... #A4C #clinical ... #ultrasound #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
runner presents to clinic ... had gained 15 kg ... ASA, Kussmaul's sign ... expiration not meeting diagnostic ... #a4c #pocus #clinical
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Differential Bilat ... partially seen shred sign ... NOT definitively diagnose ... #Lung #POCUS #clinical ... #ultrasound
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Enteroviruses (e.g ... - Jamestown Canyon ... • Common clinical ... parenchymatous (tabes ... Acute meningeal signs