8 results
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
runner presents to clinic ... ASA, Kussmaul's sign ... edema, and clear lungs ... circumferential pericardial effusion ... #a4c #pocus #clinical
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Clinical Features ... Purpura, Urticaria Chest ... 50%): Pleurisy / effusion ... , Restrictive lung ... erythematosus #signs
Hemopericardium in Cardiac Arrest on POCUS Echocardiogram
GSW to left chest. Prehospital arrest. Note has hemopericardium-isoechoic to
Echocardiogram ... GSW to left chest ... echogenic/isoechoic effusions ... #clinical #trauma ... #s4c #GSW
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Typical symptoms ... Chest x-ray: signs ... bilateral pleural effusions ... of CXR congestion
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
presents with fever ... frequently have lung ... emboli (see CT cor ... #clinical #cardiology ... #s4c
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... renal failure Clinical ... e.g. incidental CXR ... dyspnea, cough, chest ... Diagnosis #Management #Signs
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Management Pneumonia Signs ... /Symptoms: • Confusion ... • Pleuritic chest ... Uremia (blood urea ... nitrogen level
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... exam findings and clinical ... x-ray (CXR), try ... not seen on a CXR