13 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... of cardio-pulmonary ... leads) RV Ischemia ... #EKG #Pulmonary
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pneumothorax • Pulmonary ... embolismCardiac ... Initial workup: • EKG ... • Bedside ultrasound
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign ... concerning for Pulmonary ... Embolism. ... #clinical #ultrasound ... #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
: • New cardiac ... Cerebral > Splenic, pulmonary ... /ischemic insult ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... lack of acute cardiac ... level <100 pg/ml EKG ... • Negative for ischemic ... embolism • Re-expansion
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
: • New cardiac ... Cerebral > Splenic, Pulmonary ... /ischemic insult ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #cardiology
Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
Hypertension Signs ... sided collapse) #Clinical ... #POCUS #Cardiology ... Echocardiogram #A4C ... #Cardiac #Tamponade
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
Here is the cardiac ... ultrasound. ... described for Pulmonary ... Embolism; here ... #Clinical #POCUS
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... the determined cause ... #differential #algorithm ... #management #cardiology