9 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... #clinical #cardiology ... #McConnells #sign
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... → no signs of CXR ... #management #cardiology
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Tram Track Sign ... #Tram #Track #Sign ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... edema, and clear lungs ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
logical sequence of signs ... In daily clinical ... #Diagnosis #Radiology ... #CHF #CXR #Stages ... #Findings #Signs
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
CT will also demonstrate ... signs of congestive ... the differential diagnostic ... #Clinical #Radiology ... #CTChest #CHF #
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... Change in clinical ... one post op Cardiology ... unless prior heart/lung ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... (CXR), try rotating ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary