10 results
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
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 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
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
Positive FAST in LUQ view demonstrating large amount of complex free fluid (*) below the diaphragm
Positive FAST in ... green arrows) #Clinical ... #Diagnosis #EM ... #POCUS #FAST #FASTExam ... #SplenoRenal #ALiEM
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
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... See thread for POCUS ... Pulmonary embolism ... #cardiology
Empty fluid-filled sac within the endometrium. Given the absence of contents, you cannot differentiate gestational vs
This is not diagnostic ... of an IUP #Clinical ... #EM #Obgyn #Radiology ... #PelvicUS #POCUS ... PseudogestationalSac #ALiEM
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... cardiomyopathy • Pulmonary ... embolus 3. ... support for patients clinically ... #management #cardiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... Pertinent positives ... This patient’s clinical ... exam findings and clinical