9 results
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 ... circumferential pericardial effusion ... #a4c #pocus #clinical ... #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Chest x-ray: signs ... bilateral pleural effusions ... of CXR congestion ... heartfailure #diagnosis #management
Amyloidosis on POCUS Echocardiogram - Parasternal long axis (PLAX)
Pt with systemic AL amyloidosis presents with 1
- Parasternal long ... appearance of heart on CXR ... large pericardial effusion ... #clinical #Echocardiogram ... #Cardiology #PLAX
Good vs Bad CPR on POCUS TEE during Cardiac Arrest
POCUS TEE can be utilized intra-arrest to
mid-esophageal long ... person performing chest ... #POCUS #TEE #clinical ... #acls #arrest #cardiology ... #echocardiogram
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Echocardiogram ... presents with fever ... frequently have lung ... emboli (see CT cor ... #clinical #cardiology
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 ... #Signs #Symptoms
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
tomography of the chest ... and multiple liver ... of the circled area ... #NEJM #clinical ... #radiology #CT #
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Diagnosis and Management ... Pneumonia Signs ... • 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 ... x-ray (CXR), try ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary