22 results
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... RV Overload “D Sign ... ” EI > 1 - POCUS ... #Ultrasound #echocardiogram ... #psax #diagnosis
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Echocardiogram ... Differential/diagnosis ... RV, McConnell's sign ... #Echocardiogram ... cardiology #McConnells #sign
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
- McConnell's Sign ... Notching - 60/60 Sign ... #RV #Strain #Echocardiogram ... #POCUS #diagnosis ... Ventricular #cardiology #POCUS
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
rhythm monitoring, Echocardiogram ... Vascular imaging → Test ... Hypercoagulable #Workup #hematology ... #diagnosis #algorithm ... #hematology #VTE
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
elbows/wrists and knees ... skin thickening Signs ... Scleroderma #SSc #rheumatology ... #diagnosis #signs
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Pericarditis on Echocardiogram ... ASA, Kussmaul's sign ... transthoracic echocardiogram ... expiration not meeting diagnostic ... #a4c #pocus #clinical
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
of hands/feet, knees ... , shoulders Signs ... • Ultrasound Diagnosis ... : CLINICAL DIAGNOSIS ... #management #rheumatology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
Positive pathergy test ... is a skin prick test ... ) Differential Diagnosis ... #management #signs ... #symptoms #rheumatology
This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:
What's the diagnosis ... with McConnell's sign ... #Clinical #POCUS ... #Echocardiogram ... A4C #McConnells #Sign
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign ... on POCUS Echocardiogram ... Diagnosis concerning ... #McConnells #Sign ... #POCUS #Echocardiogram