41 results
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Tachycardia (MAT) • At least ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
Pulmonary Embolism ... most support her diagnosis ... Thrombus #InTransit #clinical ... #ultrasound #echocardiogram ... #a4c #mcconnells
Pulmonary Embolism on POCUS Echocardiogram

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

S/p mitral repair and MAZE. Hypotensive dyspneic, lightheaded.
Bedside U/S expediting diagnosis treatment
Pulmonary Embolism ... U/S expediting diagnosis ... treatment and transfer ... - VCU Ultrasound ... #s4c #clinical
Hemopericardium on POCUS Echocardiogram - Subcostal View

Valentine's day.  Shot through the heart--but not by Cupid.
Hemopericardium on POCUS Echocardiogram ... Diagnosis? ... Hemopericardium #POCUS #Echocardiogram ... #S4C #clinical ... #cardiology #ultrasound
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... tachycardia • S3, S4 ... Abnormal ECG, echocardiogram ... #Management #Cardiology
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
to SAM on POCUS Echocardiogram ... Diagnosis? ... Management? ... #ultrasound #Cardiology ... #PLAX #clinical
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
Sign on POCUS Echocardiogram ... Diagnosis concerning ... for Pulmonary Embolism ... #A4C #clinical ... #ultrasound #cardiology
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Overcrowded urban areas ... failure • Severe pulmonary ... disease ARDS Diagnosis ... Epidemiologic exposure + clinical ... #treatment #management
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Hypertension Presence of pulmonary ... Transthoracic echocardiogram ... RVSP) - Estimates pulmonary ... pressure < 15mmHg TREATMENT ... #management #hepatology