13 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on POCUS Echocardiogram ... Triage EKG (no prior ... Differential/diagnosis ... #A4c #clinical
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): Acute ... Cerebral > Splenic, pulmonary ... Differential Diagnosis ... Diagnosis? ... ↑ ESR, CRP • EKG
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... with multiple embolic ... Internet Book of Critical ... #criticalcare #diagnosis
Pulmonary Embolism on POCUS Echocardiogram

S/p mitral repair and MAZE. Hypotensive dyspneic, lightheaded.
Bedside U/S expediting diagnosis treatment
Pulmonary Embolism ... on POCUS Echocardiogram ... U/S expediting diagnosis ... #Embolism #AcutePE ... #s4c #clinical
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... Culture Positive: • Acute ... Cerebral > Splenic, Pulmonary ... ↑ ESR, CRP • EKG ... #Differential #Diagnosis
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
HIV/AIDS, CGD) Clinical ... presentations: • Pulmonary ... Endophthalmitis, Endocarditis ... septated hyphae, acute ... Management #treatment #fungal
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
presents with acute ... to 12 weeks for acute ... has five major clinical ... stain of clinical ... arthritis, and endocarditis
Tricuspid Valve Endocarditis on POCUS

This is the bedside Echo of a critically ill young lady who
regurgitation & septic pulmonary ... emboli. ... cultures were drawn ... #POCUS #Clinical ... #Echocardiogram
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
Sign on POCUS Echocardiogram ... McConnell Sign" c/w acute ... Diagnosis concerning ... for Pulmonary Embolism ... #A4C #clinical
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... embolus 3. ... remains unknown • Final ... Clinical • Under-recognized ... support for patients clinically