19 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 ... RV, McConnell's sign ... A4c #clinical #cardiology
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 ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
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
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 ... See thread for POCUS ... #ECG #EKG #Electrocardiogram
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
sign which consists ... periphery of the lung ... may aid in the diagnosis ... confirmed with chest ... #photo #CXR #EmergencyMedicine
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
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... un lymphatic Diagnostic ... Chest x-ray: signs ... of CXR congestion ... #heartfailure #diagnosis
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
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... level <100 pg/ml EKG ... ischemic changes CXR ... • Pulmonary embolism ... Transfusion-related acute lung
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... not be subtle e.g ... E.g. 80 yo ESR cutoff ... in literature (NEJM ... cases (Cornelia NEJM