10 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... embolism • Cardiac ... EKG • Bedside ultrasound ... • CXR • CBC
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
RUSH(ed) Exam - POCUS ... Apical Four-Chamber ... Cardiac View 3 ... Pulmonary View ... #Protocol #diagnosis
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... female with chest pain ... Differential/diagnosis ... POCUS (apical window ... A4c #clinical #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Signs: weight gain ... un lymphatic Diagnostic ... → no signs of CXR ... Consider cardiac ... #management #cardiology
McConnell's sign on POCUS Echocardiogram

An otherwise healthy male presents with pleuritic chest pain.  
Hypokinetic RV
pleuritic chest pain ... Hypokinetic RV with apical ... likely from a pulmonary ... Echocardiogram #clinical #cardiology ... #labeled
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
McConnell's Sign on POCUS ... patients w/ different diagnoses ... strain related to pulmonary ... Echocardiogram #clinical #cardiology ... #a4c #labeled
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
hypokinesis with apical ... Diagnosis concerning ... for Pulmonary Embolism ... A4C #clinical #ultrasound ... #cardiology
Bullet Embolization in the Right Ventricle on POCUS Echocardiogram
22M s/p GSW to left mid-abdomen. Positive FAST
Check out this apical ... cardiac view though ... The CXR may be helpful ... UAB Emergency Ultrasound ... Echocardiogram #clinical #cardiology
CT and ultrasonographic features of COVID-19 pneumonia
Lung CT:
 - Thickened pleura
 - Ground glass shadow and
and effusion - Pulmonary ... - Negative or atypical ... patients with pulmonary ... #POCUS #features ... #Radiology #Lung
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
breath and chest pain ... located chest pain ... This post will focus ... a chest x-ray (CXR ... not seen on a CXR