33 results
Pulmonary Embolism on POCUS Echocardiogram

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

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... Differential/diagnosis ... #ECG #EKG #Electrocardiogram ... #clinical #cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... • Pulmonary embolism ... Initial workup: • EKG ... ultrasound • CXR ... PE • CTA/VQ scan
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
film and can suggest ... the diagnosis in ... the proper clinical ... #Clinical #Radiology ... #CXR #CTChest #
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
CT scan, if suspect ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung Abscess - Clinical ... Blood cultures • CXR ... early disease) • CXR ... • Vasculitis (e.g
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... So we can assume ... is a possible diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax
Lung infarction
The radiographic features of acute pulmonary thromboembolism are insensitive and nonspecific.
The most common radiographic findings
Lung infarction ... Diagnosis (PIOPED ... the chest x-ray ... #Clinical #Radiology ... #CXR #PulmonaryEmbolism
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Other vegetations can ... Differential Diagnosis ... Endocarditis Diagnosis ... ↑ ESR, CRP • EKG