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Signs and Symptoms of Pulmonary Embolism (PE)

#Pulmonary #Embolism #Signs #Symptoms #AcutePE #Diagnosis #Presentation

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Signs and Symptoms ... Pulmonary Embolism (PE ... Pulmonary #Embolism #Signs
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
sliding/barcode sign ... Consolidations - "Shred" sign ... Pulmonary Embolism (PE ... massive/submassive PE ... differential #diagnosis #signs
Kussmaul's sign - JVP

This patient has Kussmaul's sign, an increase in apparent JVP/CVP with inspiration. While
Kussmaul's sign ... has Kussmaul's sign ... cardiomyopathy, PE ... #Kussmauls #Sign
D-Sign of Acute Pulmonary Embolism on POCUS - Parasternal Short Axis

Acute shortness of breath with this
D-Sign of Acute ... suspicious for PE ... D-sign appreciated ... @eabramsMD #DSign
Diagnostic Algorithm for Suspected Pulmonary Embolism

Well's Criteria for PE
 • Clinical Signs and Symptoms of DVT
Well's Criteria for PE ... • Clinical Signs ... less likely than PE ... Previous DVT or PE
McConnell's sign on Echocardiogram
Dilated RV and preserved apical movement (McConnell's sign) suggestive of PE.  Also
McConnell's sign ... movement (McConnell's sign ... suggestive of PE ... #McConnells #sign
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign ... called Kussmaul's sign ... Kussmaul's sign ... Kussmaul's sign ... infarction, massive PE
McConnell's sign on POCUS Echocardiogram

An otherwise healthy male presents with pleuritic chest pain.  
Hypokinetic RV
McConnell's sign ... sparing (McConnell sign ... pulmonary embolism (PE ... the setting of PE ... #McConnells #sign
Westermark sign! (R pulmonary oligemia seen on CXR). Unicorns do exist! Seen in <2% of PE
-
Westermark sign! ... Seen in <2% of PE ... ChestXRay #Westermark #Sign
Examples of McConnell's sign: Regional wall motion abnormalities sparing the right ventricular apex - suggestive of
of McConnell's sign ... suggestive of PE ... ruling in or out PE ... #McConnells #Sign