10 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Serial trops (-) EM ... elevated LVEDP ==> MRI ... (+) septal HCM ... #HCM #clinical ... #cardiology #pocus
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
- Differential Diagnosis ... Algorithm Neurocardiogenic ... Respiratory: • Pulmonary ... • DCM - ... Stenosis • HCM
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
Dilated Cardiomyopathy on POCUS Echocardiogram

40yo otherwise healthy M presents with 1 wk SOB. His pmd diagnosed
His pmd diagnosed ... to associated pulmonary ... Cardiomyopathy #DCM ... #Cardiology #clinical ... #PSAX
Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between
MI effecting [LAD ... territory] In PLAX ... DD the [apical HOCM ... Mural #Thrombus #clinical ... #pocus #a4c
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
HR 74, JVP 15 cm ... velocity of 9.5 cm ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical
Aortic aneurysm (aaa) measuring 6 cm wide with mural thrombus (asterisks) #Clinical #Diagnosis #EM #Radiology #Vasc
aaa) measuring 6 cm ... thrombus (asterisks) #Clinical ... #Diagnosis #EM ... #Radiology #Vasc ... #POCUS #AAA #MuralThrombus
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... 30%, LVEDd > 6.0 cm ... ancestry, LGE on MRI ... Clinical • Under-recognized ... support for patients clinically
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... algorithm to determine ... Change in clinical ... - Cataract Plan ... stratification #diagnosis
Small Bowel Obstruction
67 y/o M with PMH colon cancer s/p resection and colostomy, multiple SBO managed
loops dilated >2.5 cm ... diagnosis of SBO ... : 9.55 for clinical ... CT, and 6.8 for MRI ... #Radiology #POCUS