9 results
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
dissection, Aortic ... arteries, Venous ... Nodule / mass • Masses ... Pericardial effusion • CXR ... #pulmonary #radiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Sister had MI in ... Differential/diagnosis ... See thread for POCUS ... seen in 34% of cases ... #clinical #cardiology
RV Failure secondary to Pulmonary Arterial Hypertension on Echocardiogram
Pulmonary arterial hypertension resulting in severe RV dilation
Arterial Hypertension ... This case illustrates ... 100% reliable sign ... Echocardiogram #clinical #cardiology ... #s4c #pocus
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... ., aortic insufficiency ... regurgitation • Severe aortic ... Pheochromocytoma • Pulmonary ... #Palpitations #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... Cerebral > Splenic, pulmonary ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... #management #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... STE: "Pardee's sign ... QRS complex Pulmonary ... Post-cardioversion • Acute aortic ... #cardiology #ecg
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Ovarian CA, involves aortic ... Cerebral > Splenic, Pulmonary ... Septic emboli cause ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... a chest x-ray (CXR ... not seen on a CXR ... Most commonly caused ... #Radiology #CTChest