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
Air gap sign: loss of cardiac image during systole in Pneumopericardium
Interesting observation –loss of cardiac window
Air gap sign: loss ... Pneumopericardium #clinical ... #cardiology #echocardiogram ... #a4c #plax #pocus ... #airgap #sign
Hemopericardium on POCUS Echocardiogram - Subcostal View

Valentine's day.  Shot through the heart--but not by Cupid.
Diagnosis? ... CT Correlate: https ... Echocardiogram #S4C ... #clinical #cardiology ... #Pericardial #Effusion
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
McConnell's Sign ... with McConnell sign ... ) A McConnell sign ... #clinical #cardiology ... #a4c #labeled
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs
Esophageal Rupture with Gastric Contents seen on Lung Ultrasound
Middle aged patient with oesophageal Ca presents generally
Patient had CXR ... concerning for air ... Diagnosis made at ... 5 minutes and CT ... #clinical
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
if SSTI or port infection ... suspected) - CT ... chest; CT abdomen ... decompression SVC ... Oncology #HemeOnc #Diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... SpO2 88% on room air ... This patient’s clinical ... x-ray (CXR), try ... not seen on a CXR