11 results
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
Embolism on POCUS ... your next step in management ... followed by 90mg iv ... infusion over 2 ... #AcutePE
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... " c/w acute right ... concerning for Pulmonary ... #POCUS #Echocardiogram ... #ultrasound #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
Echocardiogram ... BUN/Cr- 128/9.4. ... along with rt/lt pleural ... IVC plethoric. ... #cardiology
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 ... #POCUS #Echocardiogram ... #clinical #cardiology ... #a4c #labeled
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
edema, bilateral pleural ... effusions). 1/5 ... pts w/ acute HF ... → no signs of CXR ... #cardiology #pharmacology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
HoTN, edema and effusions ... - pulmonary opacities ... sepsis), PE, DAH, CHF ... • Steroids: IV ... APML #diagnosis #management
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
Echocardiogram ... BUN/Cr- 128/9.4. ... along with rt/lt pleural ... IVC plethoric. ... PLAX #clinical #cardiology
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
effusion). ... dyspnoe due to acute ... The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... with presence of pulmonary ... differential #algorithm #management ... #cardiology #treatment ... #heartfailure #chf
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
fever: - Fever + ANC ... interventional radiology ... renal failure, pulmonary ... opacities, SOB, pleural ... effusions - Treatment