21 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Cardiomyopathy (HOCM ... elevated LVEDP ==> MRI ... #HCM #clinical ... #echocardiogram ... #plax #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Sister had MI in ... Differential/diagnosis ... #A4c #clinical ... #cardiology #McConnells
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... Clinical • ... Abnormal ECG, echocardiogram ... • Cardiogenic shock ... Diagnosis #Management #Cardiology
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... Cardiac Tamponade, Pulmonary ... Outflow Obstruction (HOCM ... , critical AS), ... #diagnosis #differential
Intracardiac Septal Masses / Thickening on Echocardiogram - Differential Diagnosis - 4 separate cases:
Case 1: LV
- Differential ... Case 3: Apical HOCM ... #clinical #a4c ... #comparison #Differential ... #Diagnosis #cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Respiratory: • Pulmonary ... Contractility: • MI ... Stenosis • HCM ... Syndrome #Syncope #Cardiology
Apical variant HCM - Importance of Acoustic Mismatch (CMR vs TTE)

Detailed Case Review: https://www.youtube.com/watch?v=2853TSxaeh4

V.L.Sorrell, MD @VLSorrellImages

#Apical
Apical variant HCM ... VLSorrellImages #Apical #HCM ... cardiacmri #CMR #comparison ... #Echocardiogram ... #clinical #cardiology
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... NodularPattern #Differential ... #Comparison #Table
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... Cardiogenic pulmonary ... #Clinical #Radiology ... Carcinomatosis #Mimic #Differential ... #Comparison #Table
Left Ventricular Hydatid Cyst on Cardiac MRI 

Illustrative Cardiac MRI image showing a large hydatid cyst
Cyst on Cardiac MRI ... Pulmonary embolism ... , anaphylactic shock ... LV #CardiacMRI #clinical ... #cardiology #echinococcus