Point lung diagnosis embolism cxr pocus radiology management a4c ctchest - GrepMed

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Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).

Pulmonary Embolism ... 's female with chest ... Differential/diagnosis ... #A4c #clinical ... #cardiology #McConnells

Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,

Bronchospasm, Pulmonary Embolism ... (JVP, edema), Lung ... Exam, POCUS (B-lines ... , lung sliding) ... Troponin), ABG, STAT CXR

Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more

can suggest the diagnosis ... densities iin the left lung ... cavitation in the right lung ... #Clinical #Radiology ... #CXR #CTChest #

Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery

Hampton hump is a radiologic ... periphery of the lung ... may aid in the diagnosis ... confirmed with chest ... #photo #CXR #EmergencyMedicine

Lung infarction
The radiographic features of acute pulmonary thromboembolism are insensitive and nonspecific.
The most common radiographic findings

Lung infarction ... Diagnosis (PIOPED ... the chest x-ray ... #Clinical #Radiology ... #CXR #PulmonaryEmbolism

Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,

: weight gain, lung ... HFrEF may lack lung ... Chest x-ray: signs ... → no signs of CXR ... #management #cardiology

Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis. More likely

Endocarditis on POCUS ... frequently have lung ... septic emboli ( ... see CT cor image ... #s4c

McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses. Both demonstrate an apical 4-chamber view

McConnell's Sign on POCUS ... patients w/ different diagnoses ... related to pulmonary embolism ... infarct or acute chest ... #a4c #labeled

Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be

one post op Cardiology ... change CV risk Chest ... unless prior heart/lung ... medical and surgical management ... stratification #diagnosis

Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)

x-ray (CXR), try ... of breath and point ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary

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