43 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... #A4c #clinical ... #cardiology #McConnells
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
on Chest CT • ... • DDx: Septic emboli ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
COVID-19 Patterns of Lung Findings on Chest CT
1. Reverse Halo Sign
2. ARDS
3. Crazy-Paving Pattern
4. Bilateral Peripheral
19 Patterns of Lung ... CT 1. ... Reverse Halo Sign ... Vascular Enlargement ... #CTChest #diagnosis
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Halo Sign on Chest ... CT • SPN or mass ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Differential Diagnosis ... Diagnosis? ... ↑ ESR, CRP • EKG ... #cardiology
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... can suggest the diagnosis ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
, verrucous) - Lung ... failure • Dyspnea Vascular ... insult due to vascular ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... Diagnosis concerning ... for Pulmonary Embolism ... #A4C #clinical ... #ultrasound #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TTE +/- TEE) • Chest ... CT scan, if suspect ... with multiple embolic ... Internet Book of Critical ... #criticalcare #diagnosis
Bronchus Sign on Chest CT
 • Airway leading directly to a peripheral lung nodule or mass
Bronchus Sign on ... Chest CT • Airway ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical