22 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... Pulmonary embolism ... #Embolism #POCUS
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on ECG Mid ... Triage EKG (no prior ... #Embolism #ECG ... #clinical #cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... Serial EKGS in pts ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
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
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... embolism • Cardiac ... Initial workup: • EKG ... , PT. aPTT • Serial
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TEE) • Chest CT ... if suspected (e.g ... joints, spleen, brain ... block (+/- daily EKG ... of infection (e.g
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Algorithm Red ... lyme • Altered mental ... (e.g., fever, myalgia ... Space-occupying brain ... CNS infection (e.g
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... level <100 pg/ml EKG ... embolism • Re-expansion ... edema (Traumatic brain ... #cardiology
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
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... embolus 3. ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g