8 results
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
Pulmonary Embolism ... enlargement, McConnell sign ... #Pulmonary #Embolism ... InTransit #clinical #ultrasound ... echocardiogram #a4c
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign ... sparing ("McConnell Sign ... concerning for Pulmonary ... Embolism. ... #McConnells #Sign
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... Embolism, Tension ... #criticalcare #algorithm ... #treatment #management
Cool echo - RV strain, McConnell sign, and CLOT IN TRANSIT!! BP is normal and pt
strain, McConnell sign ... What's your management ... Echocardiogram #A4C ... #McConnells #Sign ... #Pulmonary #Embolism
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
compromise Clinical Signs ... Abdominal or flank ... be present or signs ... , specifically CT ... ultrasound as initial
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
is the cardiac ultrasound ... as McConnell's sign ... described for Pulmonary ... Embolism; here ... #McConnells #Sign
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... with presence of pulmonary ... #differential #algorithm ... #heartfailure #chf
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... algorithm to determine ... undergoing AAA or upper abdominal ... medical and surgical management