9 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
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Good example of 'shred sign' in a patient with fever, cough and shortness of breath. 

This
example of 'shred sign ... This POCUS finding ... /CT imaging. ... eabramsMD #Shred #sign ... #lung #pulmonary
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
is a radiologic sign ... periphery of the lung ... may aid in the diagnosis ... confirmed with chest CT ... #photo #CXR #EmergencyMedicine
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... edema, and clear lungs ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
guarding/peritoneal signs ... May have vital signs ... SIGNS: (alluding ... CULLENS SIGN --> ... GREY TURNER SIGN
Small Bowel Obstruction
67 y/o M with PMH colon cancer s/p resection and colostomy, multiple SBO managed
and increasing abdominal ... diagnosis of SBO ... You do not see signs ... radiographs, 3.6 for CT ... #Radiology #POCUS
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... a chest x-ray (CXR ... not seen on a CXR ... consider intra-abdominal ... #Lung #Pulmonary