17 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology ... #McConnells #sign
There are about a dozen x-ray findings, but two of them are especially important: Loss of
aortic knob/aortic-pulmonary ... and the calcium sign ... #Clinical #Diagnosis ... #Radiology #CXR
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... Typically with history ... Serial EKGS in pts ... Electrocardiogram #Diagnosis ... #Cardiology
There are about a dozen x-ray findings, but two of them are especially important: Loss of
aortic knob/aortic-pulmonary ... and the calcium sign ... positive calcium sign ... #Clinical #Diagnosis ... #Radiology #CXR
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign ... Diagnosis concerning ... for Pulmonary Embolism ... #clinical #ultrasound ... #cardiology
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Pattern - Chest Radiology ... Differential Diagnosis ... Endemic fungi: Histo ... #pulmonary #CXR ... #clinical #CT
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... , marked pedal edema ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #cardiology
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... high index of clinical ... cultures/serology: Serial ... valve pathology, History ... #Endocarditis #comparison
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Take a thorough history ... murmur 3/6) - Pulmonary ... Medical history ... Change in clinical ... stratification #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
starts with a good history ... Signs of poor perfusion ... fatigue, altered mental ... Signs of congestion ... with presence of pulmonary