16 results
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
presents with chest ... most support her diagnosis ... enlargement, McConnell sign ... #InTransit #clinical ... echocardiogram #a4c
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Differential/diagnosis ... RV, McConnell's sign ... #A4c #clinical ... #cardiology #McConnells
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Feeding Vessel Sign ... • DDx: Septic emboli ... Feeding #Vessel #Sign ... #diagnosis #radiology ... #clinical
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... demonstration of platelet thrombi ... high index of clinical ... cultures/serology: Serial ... dysfunction common, Aortic
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
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
period without chest ... Serial EKGS in pts ... are crucial. ... Electrocardiogram #Diagnosis ... #Cardiology
Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Transverse View

Male with high fever and right
Differential/diagnosis ... ultrasound note the thrombus ... Had septic emboli ... in lungs ... #Clinical #Ultrasound
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
patients w/ different diagnoses ... related to pulmonary embolism ... infarct or acute chest ... #clinical #cardiology ... #a4c #labeled
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
after pulmonary embolism ... arteriopathy with • Medial ... Plexiform-lesion formation Clinical ... Ventilation-perfusion lung ... procedure: • Median