20 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... RV, McConnell's sign ... #A4c #clinical ... cardiology #McConnells #sign
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Differentiating NBTE from Infective ... pathognomonic signs ... specific to NBTE, and diagnosis ... is required for diagnosis ... #comparison #infective
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Endocarditis ... Neurological - Cerebral emboli ... #Endocarditis # ... Symptoms #Signs ... #PhysicalExam #Diagnosis
Infective Endocarditis - Diagnosis and Management Summary
Pearls:
 - Consider non-infectious endocarditis in pts with cancer/SLE and
Infective Endocarditis ... - Diagnosis and ... Embolic phenomenon ... - Classical signs ... Diagnosis #Management
Complications of Staph Aureus Bacteremia
 • CNS Infections
 • Septic pulmonary embolism (0.9% - 18.8%)
 •
Septic pulmonary embolism ... (0.9-5.5%) • Infective ... endocarditis ... 11.8%) • Septic arthritis ... Complications #diagnosis
Non-Infective Endocarditis (NBTE / Marantic Endocarditis)
Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
Non-Infective Endocarditis ... and likely to embolize ... pathognomonic signs ... is required for diagnosis ... NBTE #Marantic #diagnosis
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
for metastatic infection ... with multiple embolic ... metastatic foci of infection ... (e.g. septic arthritis ... #criticalcare #diagnosis
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... (A4C) A4c view ... Diagnosis concerning ... for Pulmonary Embolism ... #POCUS #Echocardiogram
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Frequent Differential Diagnoses ... without localizing signs ... , infective endocarditis ... typhoid, pulmonary embolism ... endocarditis
Combination of Skin Findings and Arthritis in Pediatrics Patient - Differential Diagnosis
Malar rash: 
 • A
- Differential Diagnosis ... not be seen try focus ... migrans: • Target sign ... Suggestive of Lyme infection ... #differential #diagnosis