9 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
trops (-) EM ... HCM + SAM ==> D ... Metoprolol - VCU Ultrasound ... echocardiogram #plax #cardiology ... #pocus
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Feeding Vessel Sign ... on Chest CT • ... • DDx: Septic ... #CT #Lung #Pulmonary ... #diagnosis #radiology
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
on POCUS Echocardiogram ... Septic patient ... Diagnosis? ... #HOCM #POCUS #Echocardiogram ... #ultrasound #Cardiology
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... can suggest the diagnosis ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology
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
Crazy Paving on Chest CT
 • Thickened interlobular septa in a background of diffuse GGO's.
 •
CT • Thickened ... interlobular septa ... Crazy #Paving #Sign ... #CT #Lung #Pulmonary ... #diagnosis #radiology
VSD on Newborn POCUS Echocardiogram (A4C)
Term newborn presents with irritability and increased work of breathing. Bedside
resolution: Patient had signs ... copious B lines on lung ... for diuresis, cardiology ... #ventricular #septal ... pediatrics #clinical #cardiology
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 #
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Vital signs: BP ... This post will focus ... #Radiology #CTChest ... #Lung #Pulmonary