11 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
- McConnell's Sign ... Regurgitation - Elevated Pulmonary ... Notching - 60/60 Sign ... #RV #Strain #Echocardiogram ... #POCUS #diagnosis
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
sign which consists ... may aid in the diagnosis ... of pulmonary embolism ... confirmed with chest CT ... #photo #CXR #EmergencyMedicine
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign ... on POCUS Echocardiogram ... sparing ("McConnell Sign ... #McConnells #Sign ... #POCUS #Echocardiogram
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
McConnell's Sign ... on POCUS Echocardiogram ... with McConnell sign ... ) A McConnell sign ... #POCUS #Echocardiogram
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
15,000/mm3, and urine ... purposes of this algorithm ... echo is positive, treatment ... clinical and lab signs ... #Diagnosis #Peds
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... status and low urine ... Signs of congestion ... with presence of pulmonary ... #cardiology #treatment
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Nasal polyps and signs ... parenchyma Diagnosis ... high-resolution chest CT ... mycobacteria Treatment ... #differential #diagnosis
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Pneumonia (CAP) - Diagnosis ... Management Pneumonia Signs ... radiograph or CT ... Blood cultures - Urine ... #Pulmonary #Community
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This post will focus ... a chest x-ray (CXR ... not seen on a CXR ... #Radiology #CTChest