29 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... Pulmonary embolism ... #Embolism #POCUS ... #cardiology #McConnells
Positive FAST in the RUQ view demonstrating echogenic clot in Morison’s pouch with adjacent anechoic free
free fluid (*) #Clinical ... #Diagnosis #EM ... #Trauma #Radiology ... #POCUS #FAST #FASTExam ... #ALiEM
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
patient who had a CT ... to rule out pulmonary ... embolism. ... The diagnosis based ... #Clinical #Radiology
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Sign on Chest CT ... • Distinct pulmonary ... • DDx: Septic emboli ... #diagnosis #radiology ... #clinical
Positive DVT study showing thrombus in the femoral vein (v), adjacent to the femoral artery (a)
Positive DVT study ... #Clinical #Diagnosis ... #EM #Radiology ... #Vasc #POCUS #DVT ... #ALiEM
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Differential Diagnosis ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Embolism, Pneumothorax ... edema), Lung Exam, POCUS
False Positive Lung Point on POCUS
Lung-Cardiac Point and Lung-Diaphragm Point
These images highlight selected differentials to pleural
False Positive Lung ... Point on POCUS ... #clinical #lungcardiac ... lungdiaphragam #ultrasound #pulmonary ... diagnosis #mimics
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Blood cultures are positive ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... Diagnosis: • Rheumatic ... #management #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... endocarditis w/ septic pulmonary ... Persistent fever, positive ... with multiple embolic ... #criticalcare #diagnosis
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Diagnosis of Miliary ... #differential # ... diagnosis #pulmonary ... #CXR #clinical ... #CT