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Manoj Wickramasinghe Profile picture
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6 Feb, 5 tweets, 4 min read
#askpocus case. Indigestion type chest pain with some pleuritic nature. Troponin ++. Lateral TWI. Initially suspected ACS but CTPA showed PE so treated accordingly. @askpocus @daniel_opazo @NephroP @Wilkinsonjonny @iceman_ex @cianmcdermott @nick_wroe @IMPOCUSFocus @The_echo_lady
So why was troponin so raised? Bedside echo! Not the greatest of views but enough to comment. PLAX...
PSAX...
Apical 4cH
So with those images - what do we think is going on? Will reveal answer (or at least what I think!) in due course #POCUS #echofirst #FUSIC

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More from @Manoj_Wickram

Manoj Wickramasinghe Profile picture
4 Feb
Train the eye - part 3. Cardiac tamponade! #askpocus #echofirst #pocus @NephroP @Wilkinsonjonny @icmteaching @IMPOCUSFocus @dr_benoy_n_shah @cianmcdermott @EmergencyEcho @KalagaraHari @RJonesSonoEM @DRsonosRD @SonoSerious @iceman_ex @daniel_opazo
There are several sonographic signs of cardiac tamponade...

Right ventricular end diastolic collapse – relatively low sensitivity, relatively high specificity

Read 18 tweets
Manoj Wickramasinghe Profile picture
2 Feb
Another train the eye thread. This time - Takutsubos cardiomyopathy 🐙! #POCUS #askpocus #echofirst @iceman_ex @cianmcdermott @icmteaching @load_dependent @daniel_opazo @KalagaraHari @DRsonosRD @tsquaredmd @coreultrasound @IMPOCUSFocus @nick_wroe @askpocus @The_echo_lady
Also known as stress induced cardiomyopathy/takutsubos syndrome/broken heart syndrome
Classically you get apical ballooning and akinesis with basal preservation.
Read 13 tweets

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