12 results
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Takotsubo Cardiomyopathy ... on POCUS 78 ... leads Cardiac MRI ... #POCUS #Ultrasound ... Echocardiogram #Cardiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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Kussmaul's Sign ... constriction, restrictive cardiomyopathy ... and other rarer causes ... clinical #video #jvp ... #cardiology #neck
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes ... Physical Exam: ↑JVP ... Echocardiography, Cardiac MRI ... #Diagnosis #Causes ... #differential #cardiology
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Chordae Tendineae on POCUS ... Many underlying causes ... not limited to: MVP ... Assess for MR when ... #Clinical #Cardiology
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Typically the JVP ... or increase in JVP ... include restrictive cardiomyopathy ... physicalexam #diagnosis #cardiology ... #differential #causes
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... jugular venous wave caused ... IJ vein seen on POCUS ... #PhysicalExam #Cardiology ... Neck #Jugular #JVP
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
Kussmaul's #sign ... fall of mean #JVP ... Commonest cause ... Constriction, restrictive cardiomyopathy ... PhysicalExam #clinical #cardiology
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
radiation dose Ultrasound ... Combination of above MRI ... for non-calculus causes ... scan) when an ultrasound ... stones #calculus #Radiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Septal Hypertrophic Cardiomyopathy ... elevated LVEDP ==> MRI ... Metoprolol - VCU Ultrasound ... echocardiogram #plax #cardiology ... #pocus
Pickelhaube Sign on Echocardiogram
Pickelhaube sign may be seen in mitral valve prolapse (MVP): High velocity (≥
Pickelhaube Sign ... valve prolapse (MVP ... prolapsing leaflets causes ... Echocardiogram #POCUS ... #cardiology #clinical