13 results
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
): - Pulmonary ... embolism - Ischemia ... enlargement or myxoma ... #Fibrillation #AFib ... #Diagnosis #Causes
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... Pulmonary embolism ... #Embolism #POCUS ... Echocardiogram #A4c
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
- Differential Diagnosis ... Respiratory: • Pulmonary ... Embolism • Hypoxia ... Syndrome #Syncope #Cardiology ... #Algorithm #causes
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... evaluating for other causes ... Arrhythmia* (e.g., A-Fib ... #Embolism #AcutePE ... #diagnosis #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Sacks) • Atrial myxoma ... Cerebral > Splenic, pulmonary ... Cause Injury By ... Treat underlying cause ... #management #cardiology
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign on POCUS ... Diagnosis concerning ... for Pulmonary Embolism ... McConnells #Sign #POCUS ... clinical #ultrasound #cardiology
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
may aid in the diagnosis ... of pulmonary embolism ... In this case, pulmonary ... embolism was confirmed ... #photo #CXR #EmergencyMedicine
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... Sacks) • Atrial myxoma ... Cerebral > Splenic, Pulmonary ... Treat underlying cause ... #cardiology #infectiousdiseases
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... See thread for POCUS ... Pulmonary embolism ... Electrocardiogram #clinical #cardiology
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
patients w/ different diagnoses ... strain related to pulmonary ... embolism, but could ... Echocardiogram #clinical #cardiology ... #a4c #labeled