12 results
Congenital absence of the pericardium: 
- CXR: leftward shift of the cardiac silhouette, Snoopy sign, no
pericardium: - CXR ... silhouette, Snoopy sign ... in a posterior position ... #cardiology #chest ... #radiology #clinical
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... AMS, SOB from CHF ... Pads in AP position ... differential #management #cardiology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
a patient with signs ... of CHF. ... there is a high position ... #Clinical #Radiology ... #CXR #CHF #Pleural
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... venous pressure, positive ... Less Specific Signs ... → no signs of CXR ... diagnosis #management #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... continues into tall, positive ... V2 • Wellens sign ... pain • Wellens sign ... #differential #cardiology
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... Other signs of CHF ... magnification and high position ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Admit ==> Positive ... elevated LVEDP ==> MRI ... echocardiogram #plax #cardiology ... #pocus
Dilation of the azygos vein is a sign of increased right atrial pressure and is usually
azygos vein is a sign ... In the standing position ... #Clinical #Radiology ... #CXR #CHF #Azygous
Small Bowel Obstruction
67 y/o M with PMH colon cancer s/p resection and colostomy, multiple SBO managed
POCUS shows fluid-filled ... You do not see signs ... report a very high positive ... CT, and 6.8 for MRI ... Medicine #Clinical #Radiology