10 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 ... Distinct pulmonary ... • 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
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... Diagnosis concerning ... for Pulmonary Embolism ... #POCUS #Echocardiogram ... #ultrasound #cardiology
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
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
Crazy Paving on Chest CT
 • Thickened interlobular septa in a background of diffuse GGO's.
 •
Crazy Paving on Chest ... Thickened interlobular septa ... Crazy #Paving #Sign ... #CT #Lung #Pulmonary ... #diagnosis #radiology
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
patients w/ different diagnoses ... strain related to pulmonary ... infarct or acute chest ... #clinical #cardiology ... #a4c #labeled
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