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 ... on POCUS Echocardiogram ... hypokinesis with apical ... #Sign #POCUS #Echocardiogram ... clinical #ultrasound #cardiology
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
McConnell's Sign ... on POCUS Echocardiogram ... RV with apical ... #Sign #POCUS #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 ... McConnell's sign ... #POCUS #Echocardiogram ... #A4C #cardiology
McConnell's sign on POCUS Echocardiogram

An otherwise healthy male presents with pleuritic chest pain.  
Hypokinetic RV
McConnell's sign ... on POCUS Echocardiogram ... Hypokinetic RV with apical ... #sign #POCUS #Echocardiogram ... #clinical #cardiology
McConnell's Sign on POCUS Echocardiogram - PSAX
Positive McConnell's Sign (hypokinetic RV with apical sparing) indicates acute
McConnell's Sign ... on POCUS Echocardiogram ... RV with apical ... #Sign #POCUS #Echocardiogram ... PSAX #clinical #cardiology
McConnell sign and right sided thrombus in transit on POCUS

Pt presents to highest acuity area of
McConnell sign and ... in transit on POCUS ... sign and right ... #sign #thrombus ... Echocardiogram #POCUS
Apical Wall Motion Abnormality on POCUS Echocardiogram

LV apical wall motion abnormality on this 4-chamber view.
Differential should
Apical Wall Motion ... Abnormality on POCUS ... Echocardiogram LV apical ... Abnormality #WMA #POCUS ... Echocardiogram #clinical #cardiology
Moderator Band (Septomarginal Trabecula) on POCUS Echocardiogram

RV marked by moderator band (septomarginal trabeculae), apically-positioned TV (compared
Trabecula) on POCUS ... septomarginal trabeculae), apically-positioned ... Septomarginal #Trabecula #POCUS ... #RV #clinical #cardiology ... #anatomy #apical
Apical Thrombus on POCUS Echocardiogram - PLAX and PSAX

What is the structure indicated by the arrow?
Resolution:
Apical Thrombus ... on POCUS Echocardiogram ... Resolution: this was an apical ... #Thrombus #POCUS ... PSAX #clinical #cardiology
Mitral Valve Vegetations in Endocarditis - POCUS Echocardiogram

Apical 4-chamber view, a mobile echogenic mass is seen
Endocarditis - POCUS ... Echocardiogram Apical ... out of the LA POCUS ... #Endocarditis #POCUS ... Echocardiogram #clinical #cardiology