9 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology ... #McConnells #sign
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... period without chest ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
evidence of a chest ... infiltrate (e.g ... ., CXR, CT, ultrasound ... production, pleuritic chest ... pain) and signs
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... V2 • Wellens sign ... pain • Wellens sign ... #differential #cardiology ... #electrocardiogram
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs ... of CXR congestion
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
McConnell's Sign ... with McConnell sign ... ) A McConnell sign ... #McConnells #Sign ... #a4c #labeled
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
is a radiologic sign ... confirmed with chest ... CT angiography. ... #photo #CXR #EmergencyMedicine ... #Cardiology #HamptonHump
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This post will focus ... x-ray (CXR), try ... not seen on a CXR ... #Radiology #CTChest