10 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology ... #McConnells #sign
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... (A4C) A4c view ... concerning for Pulmonary ... #A4C #clinical ... #ultrasound #cardiology
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Radiology • Miliary ... diffuse inhalational injury ... #Radiology #differential ... #CXR #clinical ... #CT
Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
Tamponade Masked in Pulmonary ... Hypertension Signs ... sided collapse) #Clinical ... #POCUS #Cardiology ... Echocardiogram #A4C
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
on POCUS Echocardiogram ... strain related to pulmonary ... infarct or acute chest ... #clinical #cardiology ... #a4c #labeled
Hemothorax after Thoracentesis - Unfortunately, hemothorax developed shortly after the procedure (Panel B). Computed tomography and
iatrogenic arterial injury ... embolization (Panel D) #Clinical ... #Radiology #Hemothorax ... #CXR #CT #Angiogram ... Thoracentesis #NEJM
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Endocarditis on POCUS ... septic emboli (see CT ... cor image https ... Echocardiogram #clinical ... #cardiology #s4c
RV Failure secondary to Pulmonary Arterial Hypertension on Echocardiogram
Pulmonary arterial hypertension resulting in severe RV dilation
Echocardiogram Pulmonary ... 100% reliable sign ... Echocardiogram #clinical ... #cardiology #s4c ... #pocus
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... decompression SVC ... interventional radiology ... renal failure, pulmonary
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... x-ray (CXR), try ... not seen on a CXR ... #Radiology #CTChest