20 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #McConnells #sign
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign ... sparing ("McConnell Sign ... " c/w acute right ... Diagnosis concerning ... #McConnells #Sign
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Diagnosis Algorithm ... • Meningeal signs ... Systemic symptoms and signs ... arteritis • Acute ... #neurology #PHANTOMS
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... HF → no signs of ... CXR congestion.
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
cardiogenic edema, to differentiate ... Look for other signs ... patients, who have an acute ... #Diagnosis #Radiology ... #Pulmonary #CXR
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
McConnell's Sign ... with McConnell sign ... ) A McConnell sign ... #McConnells #Sign ... #a4c #labeled
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Diagnosis Approach ... hypertension and signs ... renal bruit or signs ... Causes: • Vascular ... Neurologic disorders
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Diagnosis Framework ... level <100 pg/ml EKG ... ischemic changes CXR ... • Pulmonary vascular ... #diagnosis #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ... #EKG #diagnosis ... #differential #
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... Diagnosis Framework ... Impairment: • Acute ... Lack of UMN/LMN signs ... #Diagnosis #neurology