31 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
Colonic Thumbprint Sign on Abdominal XRay - Differential Diagnosis:
 • inflammatory bowel disease: UC and CD
Colonic Thumbprint Sign ... : UC and CD • infection ... (e.g. pseudomembranous ... Colon #Thumbprint #Sign ... Diagnosis #radiology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Diagnosis Algorithm ... • Meningeal signs ... Systemic symptoms and signs ... Matthew Ho, MD PhD ... #neurology #PHANTOMS
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... Differential Bilat ... Lung POCUS shows ... partially seen shred sign ... NOT definitively diagnose
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... Pads in AP position ... #bradycardia #diagnosis ... #differential # ... management #cardiology
Bronchiectasis is defined as localized bronchial dilatation.
The diagnosis of bronchiectasis is usually based on a combination
dilatation (signet-ring sign ... the peripheral lung ... A signet-ring sign ... #Diagnosis #Radiology ... Bronchiectasis #Differential
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... posterior fat pad ... can't make A-OK sign ... Splint: Posterior long ... #XRay #Diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs ... #management #cardiology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
lesions • 80% with lung ... skin lesions, LAD ... Lesions #Brain #differential ... #diagnosis #causes ... #radiology #neurology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... have no pain - LAD ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential