Meghan Kelly Herbst, MD @eusmkh
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UCONN Associate Professor in Emergency Medicine. Ultrasound Fellowship Yale 2011. Family, patients, education, running = my life. https://twitter.com/EUSmkh | https://www.instagram.com/eus_mkh/
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McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign ... hypokinesis with apical ... sparing ("McConnell ... Herbst @EUSmkh #McConnells ... clinical #ultrasound #cardiology
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
McConnell's Sign ... demonstrate an apical ... kinetic RV with apical ... sparing) A McConnell ... Echocardiogram #clinical #cardiology
McConnell's Sign in RV Infarct
This patient arrived as a STEMI alert. Apical 4-chamber view showing a
McConnell's Sign ... Apical 4-chamber ... hypokinetic RV with apical ... McConnell's sign ... Echocardiogram #A4C #cardiology
McConnell's sign on POCUS Echocardiogram

An otherwise healthy male presents with pleuritic chest pain.  
Hypokinetic RV
McConnell's sign ... Hypokinetic RV with apical ... sparing (McConnell ... Herbst @EUSmkh #McConnells ... Echocardiogram #clinical #cardiology
McConnell's Sign on POCUS Echocardiogram - PSAX
Positive McConnell's Sign (hypokinetic RV with apical sparing) indicates acute
McConnell's Sign ... PSAX Positive McConnell's ... hypokinetic RV with apical ... Herbst @EUSmkh #McConnells ... PSAX #clinical #cardiology
Apical Thrombus on POCUS Echocardiogram - PLAX and PSAX

What is the structure indicated by the arrow?
Resolution:
Apical Thrombus ... Resolution: this was an apical ... The anterior (anterolateral ... 1001559616382275584 #Apical ... PSAX #clinical #cardiology
Anterior Shoulder Dislocation and Reduction on POCUS

Shoulder scan, convex transducer, top of screen is posterior for
Anterior Shoulder ... A) shows an anteriorly ... the screen (more anterior ... Herbst @EUSmkh #Anterior ... ultrasound #msk #radiology
Moderator Band (Septomarginal Trabecula) on POCUS Echocardiogram

RV marked by moderator band (septomarginal trabeculae), apically-positioned TV (compared
septomarginal trabeculae), apically-positioned ... #RV #clinical #cardiology ... #anatomy #apical
Apical Wall Motion Abnormality on POCUS Echocardiogram

LV apical wall motion abnormality on this 4-chamber view.
Differential should
Apical Wall Motion ... Echocardiogram LV apical ... Herbst @EUSmkh #Apical ... Echocardiogram #clinical #cardiology
Anterolateral Papillary muscle rupture on POCUS Echocardiogram

Labeled Schematic: https://twitter.com/EUSmkh/status/849251857704902656

#Anterior #Anterolateral #Papillary #muscle #rupture #POCUS #Echocardiogram #Clinical
849251857704902656 #Anterior ... Clinical #PLAX #Cardiology