21 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology ... #McConnells #sign
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
window Assess azygous ... compare hilum position ... cervical rib Check lung ... #Chest #XRay #CXR ... #diagnosis #pulmonary
Dilation of the azygos vein is a sign of increased right atrial pressure and is usually
Dilation of the azygos ... vein is a sign ... In the standing position ... #Clinical #Radiology ... #CXR #CHF #Azygous
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign ... sparing ("McConnell Sign ... concerning for Pulmonary ... #McConnells #Sign ... #ultrasound #cardiology
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 ... Chest x-ray: signs ... → no signs of CXR
There are about a dozen x-ray findings, but two of them are especially important: Loss of
aortic knob/aortic-pulmonary ... and the calcium sign ... is considered a positive ... calcium sign and ... #CXR #ChestXRay
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
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
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
Obstructive lung ... The following signs ... arrow); prominent azygos ... #Clinical #Radiology ... #CXR #CHF #Alveolar
On the left a patient with CHF. 
There is an increase in heart size compared to
Other signs of CHF ... redistribution of pulmonary ... magnification and high position ... #Clinical #Radiology ... #CXR #CHF #Exacerbation