Addison

to definity and beyond ••sonography student just trying to make it

[Addison @dont_be_tachy]

@TachyTrep @sono_sam @Bicuspid_Babe @Ultra_Brock @Cardi_AC @clipsoftheheart There is definitely a difference in the size of these hearts!📏 I love that they gave a comparison of an athlete and non athlete heart so that we could compare. I’d be interested to see more info on each case just to see reasons for exam!🤔

[Addison @dont_be_tachy]

A perfect example as to why we should never assume anything with trauma—it’s so unpredictable. Tamponade is a common trauma finding in echo💦 Depending on the rate of accumulation it could be missed/underestimated at first😳
#echofirst #ase360 #cardiotwitter @TachyTrep @Cardi_AC

[MH/CCF/CWRU Emergency Medicine Residency @MetroHealth_EM]

Hypotension in trauma is not always due to hypovolemia. This was a great catch by one of our ED residents and shows the benefits of #POCUS in diagnosing cardiac tamponade. Patient went to the OR for definitive management. #FOAMus #MedStudentTwitter #MedTwitter #EmergencyMedicine

[Sono🏥Sam @sono_sam]

Incidental finding on subcostals #pocus pop quiz! More clips in the thread. #echofirst @POCUS_Society @ASE360 @CASEfromASE @GlobalPocus @POCUSJournal @NephroP @Wilkinsonjonny @trigeminy_henry @BonitaEcho @VLSorrellImages @svuinfo #meded #foamus #foamed @nat_echo @GWhalleyPhD

[Addison @dont_be_tachy]

Excellent use of definity to r/o an apical thrombus—whether it was used for that purpose or EF— surprise it’s a thrombus👀 Single apical thrombus could’ve been missed w/o use of definity😅CFD could’ve been used as well! #echofirst #ase360 #cardiotwitter @Cardi_AC @TachyTrep

[David @DavidACNP]

#ECHO of apical #ventricular #thrombus #ultrasound in #dilated #cardiomyopathy #LowEF #ejectionfraction https://t.co/WXeLqx7eJo

[Addison @dont_be_tachy]

@Bicuspid_Babe I would say extra large! Looks as if that heart is just floating. I too wondered if anything else was compressed— interesting thought on the phrenic nerve!

[Addison @dont_be_tachy]

Holy😳😳 definitely a case of swinging heart —which is commonly found with tamponade. Looks like the ❤️ is completely surrounded by fluid, if I had to guess this patient is probably SOB and experiencing extreme fatigue! #echofirst #ase360 #cardiotwitter @Bicuspid_Babe @Cardi_AC

[Brian Kolski,MD @bkolskk]

Good example of swinging heart in pre tamponade. Reason for electrical alternans in pericardial effusion. EkG below from same pt.

[Addison @dont_be_tachy]

@TachyTrep @sono_sam @Bicuspid_Babe @Cardi_AC @clipsoftheheart For sure dilated cardiomyopathy! Interesting to see the smoke on echo. I haven’t personally seen this within the clinical setting yet, but I believe the smoke is a definite giveaway!

[Addison @dont_be_tachy]

Definitely a case of hypertrophic cardiomyopathy! A common symptom is chest pain upon exertion. This could possibly be biventricular CMO— would love to see another view. For sure have some LVH going on.😳 #cardiotwitter #echofirst #ase360 @TachyTrep @clipsoftheheart @Cardi_AC

[Addison @dont_be_tachy]

That inferoseptal wall is barely moving..definitely a wall motion abnormality present.😳 Appears to me that the RCA is blocked🤔 no words for the amount of fluid💦—which I’m sure is making it hard for this pt to breathe. #echofirst #ase360 #foamus #IHD @Cardi_AC @clipsoftheheart

[Rosa Lillo @RosaLillo14]

👴 82 yrs old, Fabry cardiomyopathy+Ischemic heart disease+pneumonia+pleural effusion
@frances82041486 @Antonel03845139 @EmanueleRavenna #echofirst #echo #jadel

[Addison @dont_be_tachy]

@Bicuspid_Babe I too wish that some of these cases had more background info with them! I haven’t seen TDI used to evaluate endocarditis, but it is definitely interesting, excited to see these types of cases in clinical now that we are familiar with it. Great case!

[Addison @dont_be_tachy]

Never seen anything quite like this before😳 —this could’ve been introduced via the oral cavity/upper respiratory/or GI tract. I’d be interested to know patient’s symptoms to figure out what caused it. #echofirst #ase360 #foamus #cardiactwitter @TachyTrep @Bicuspid_Babe

[NEJM @NEJM]

A 76-year-old man with a history of congestive heart failure and an ejection fraction of 45% presented to the emergency department with worsening shortness of breath. Transesophageal echocardiography confirmed prosthetic-valve endocarditis. https://t.co/ly6yTo4CyS

[Addison @dont_be_tachy]

I don’t know if I’d call this severe regurgitation or patient may die on my table😅😳 I would slightly freak if this were my patient. #echofirst #foamus #cardiotwitter #ase360 @TachyTrep @clipsoftheheart @Cardi_AC

[Cyntia Machain @CyntiaMachain]

Severe aortic regurgitation #echofirst #Cardiology #cardiotwitter #valvularheartdisease

[Addison @dont_be_tachy]

@clipsoftheheart @Bicuspid_Babe

[Addison @dont_be_tachy]

I love a good jet, especially one I know I can get a full envelope on Doppler! Also, I don’t know much, but I don’t think that hyperechoic area belongs in the RA? Possible mass since it doesn’t appear to be connected to the wall. #echofirst #ase360 #cardiotwitter #foamus #foamed

[TPA @thepocusatlas]

POCUS-1st in dyspnea leads to some very interesting discoveries! This pt had SOB without clinical signs of volume overload. Notice the regurgitant jet seen on color flow over the mitral valve secondary to heart failure. Can you spot another finding in this apical 4-chamber view?