16 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Pulmonary embolism ... #Embolism #POCUS ... A4c #clinical #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... See thread for POCUS ... Pulmonary embolism ... #Embolism #ECG ... #clinical #cardiology
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Diagnosis? ... Management? ... Echocardiogram #ultrasound ... #Cardiology #PLAX
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... Persistent fever, positive ... with multiple embolic ... block (+/- daily EKG ... #criticalcare #diagnosis
McConnell's Sign on POCUS Echocardiogram - PSAX
Positive McConnell's Sign (hypokinetic RV with apical sparing) indicates acute
McConnell's Sign on POCUS ... Positive McConnell's ... highly specific for pulmonary ... embolism in the ... #clinical #cardiology
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 ... Differential Diagnosis ... ↑ ESR, CRP • EKG ... #management #cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Admit ==> Positive ... Metoprolol - VCU Ultrasound ... echocardiogram #plax ... #cardiology #pocus
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign on POCUS ... Diagnosis concerning ... for Pulmonary Embolism ... A4C #clinical #ultrasound ... #cardiology
Anterior Akinesia on POCUS Echocardiogram

Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
getting 12 lead ECG ... Diagnosis? ... ECG obtained. ... Hypokinesis #RWMA #PLAX ... #ultrasound #Cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Blood cultures are positive ... cases Culture Positive ... Cerebral > Splenic, Pulmonary ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases