11 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... dissection • Pneumothorax ... • Pulmonary embolism ... EKG • Bedside ultrasound ... • CXR • CBC
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
presents with chest ... most support her diagnosis ... Thrombus #InTransit #clinical ... #ultrasound #echocardiogram ... #a4c #mcconnells
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Embolism, Pneumothorax ... Troponin), ABG, STAT CXR ... , CTA Chest, Echocardiogram
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... 's female with chest ... Differential/diagnosis ... Embolism #POCUS #Echocardiogram ... #A4c #clinical
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... is a possible diagnosis ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
Double Lung Point seen in a Small Pneumothorax on Lung POCUS

Young male with stab wound to
seen in a Small Pneumothorax ... stab wound to chest ... Upright CXR normal ... #Lung #POCUS #clinical ... #ultrasound #Pulmonary
Pulmonary Embolism on POCUS Echocardiogram

S/p mitral repair and MAZE. Hypotensive dyspneic, lightheaded.
Bedside U/S expediting diagnosis treatment
Pulmonary Embolism ... on POCUS Echocardiogram ... U/S expediting diagnosis ... - VCU Ultrasound ... #s4c #clinical
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
Sign on POCUS Echocardiogram ... Diagnosis concerning ... for Pulmonary Embolism ... #A4C #clinical ... #ultrasound #cardiology
There is a hydropneumothorax.
Notice the air-fluid level.
The upper lobe is still attached to the chest wall
attached to the chest ... is a possible diagnosis ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
patients w/ different diagnoses ... strain related to pulmonary ... infarct or acute chest ... #clinical #cardiology ... #a4c #labeled