19 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... elevated LVEDP ==> MRI ... (+) septal HCM ... Metoprolol - VCU Ultrasound ... #echocardiogram
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
Septic patient ... Diagnosis? ... #Systolic #Anterior ... Motion #LVOTO #SAM #HOCM ... #ultrasound #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
becoming acute anterior ... wall MI — 'widow ... Serial EKGS in pts ... Wellens #Sign #EKG ... #Diagnosis #Cardiology
Intracardiac Septal Masses / Thickening on Echocardiogram - Differential Diagnosis - 4 separate cases:
Case 1: LV
Intracardiac Septal ... - Differential ... Diagnosis - 4 separate ... Case 3: Apical HOCM ... #Diagnosis #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Pericarditis on Echocardiogram ... had gained 15 kg ... (A) a dilated inferior ... expiration not meeting diagnostic ... pocus #clinical #cardiology
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 ... Sister had MI in ... Differential/diagnosis ... A4c #clinical #cardiology
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
• Typically anterior ... infarct Ventricular Septal ... Infarction #acuteMI #cardiology ... #differential # ... diagnosis #timeline
Anterior-Septal Wall Motion Abnormality on POCUS Echocardiogram

58yoM smoker, neg nuclear ST last week, with CP that
Anterior-Septal ... EKG: nsr, TWI v1 ... What's his diagnosis ... #Anterior #Septal ... #Clinical #Cardiology
Anterior Akinesia on POCUS Echocardiogram

Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
Anterior Akinesia ... on POCUS Echocardiogram ... Diagnosis? ... #PLAX #POCUS #Echocardiogram ... #ultrasound #Cardiology
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
L5/S1 with an inferior ... sequestration • epidural hematoma ... Diagnosis: • ... Imaging studies: • MRI ... #diagnosis #causes