12 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology ... #McConnells #sign
Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late
and McConnell sign ... arrows) parasternal short ... view E. 60/60 sign ... acceleration time of pulmonary ... RightVentricular #Cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Pressure Waveforms - Differential ... atrial myxoma, pulmonary ... , severe right heart ... #Diagnosis #PhysicalExam ... #cardiology
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... /w acute right heart ... concerning for Pulmonary ... #POCUS #Echocardiogram ... #ultrasound #cardiology
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
Evaluate RV size and function ... • Evaluate for signs ... causes of PH (left heart ... shunt lesions) • Differentiate ... Echocardiography #diagnosis #cardiology
Severe functional TR (w/o color and CW Doppler) on TTE 2D and 3D
How do we estimate
do we estimate Pulmonary ... triangular (V cutoff sign ... #TR #tricuspid ... #3D #clinical #cardiology ... #pocus
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
on POCUS Echocardiogram ... from acute right heart ... strain related to pulmonary ... #clinical #cardiology ... #a4c #labeled
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... Marantic (NTBE) Differential ... Substance use: R > L Tricuspid ... diagnosis #management #cardiology
RV Failure secondary to Pulmonary Arterial Hypertension on Echocardiogram
Pulmonary arterial hypertension resulting in severe RV dilation
Echocardiogram Pulmonary ... 100% reliable sign ... displaced valve (the tricuspid ... Echocardiogram #clinical #cardiology ... #s4c #pocus
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
chambers of the heart ... shows very poor RV function ... described for Pulmonary ... #Clinical #POCUS ... Echocardiogram #Definity #A4C