10 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Nodular LCH: - Sarcoidosis ... : 'signet ring sign ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
diseases with a nodular ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... NodularPattern #Differential
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
small blue-colored spot ... the skin (middle chest ... Friedreichs #Neck #JVP #PhysicalExam ... #Clinical #Video ... #Cardiology
Air Crescent Sign on Chest CT
 • Crescentic or circumferential rim of radiolucent airspace within a
Air Crescent Sign ... consolidation or nodular ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
McConnell's Sign on POCUS Echocardiogram - PSAX
Positive McConnell's Sign (hypokinetic RV with apical sparing) indicates acute
Echocardiogram - PSAX Positive ... highly specific for pulmonary ... infarct & acute chest ... Echocardiogram #PSAX #clinical ... #cardiology #labeled
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... with presence of pulmonary ... #diagnosis #differential ... algorithm #management #cardiology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... fungal stain of clinical ... Inhalation of spores ... , ocular, or disseminated ... infection have positive
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
thickening in the basal parts ... there is a broad differential ... and additional clinical ... #Clinical #Radiology ... #CTChest #RBILD
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... Vital signs: BP ... This patient’s clinical ... Due to their short ... #Radiology #CTChest