23 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... See thread for POCUS ... Pulmonary embolism ... #A4c #clinical
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
Pulmonary Embolism ... most support her diagnosis ... enlargement, McConnell sign ... #Pulmonary #Embolism ... #a4c #mcconnells
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
Approach to the ... Diagnosis Framework ... tachycardia • Atrial ... depletion • Pulmonary ... embolism • Pericardial
RV Failure secondary to Pulmonary Arterial Hypertension on Echocardiogram
Pulmonary arterial hypertension resulting in severe RV dilation
Arterial Hypertension ... on Echocardiogram ... Pulmonary arterial ... sign is that the ... #Arterial #Hypertension
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
Edema (NCPE) - Differential ... Diagnosis Framework ... evidence of left atrial ... spiral arteries ... #diagnosis #NCPE
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Cause Injury By ... Marantic (NTBE) Differential ... ↑ Suspicion -> TEE
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
echo contrast material ... described for Pulmonary ... Embolism; here ... Clinical #POCUS #Echocardiogram ... #Definity #A4C
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Diagnosis Framework ... to neurologic injury ... embolus SHUNT ... shunting (eg, atrial ... #Diagnosis #pulmonary
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
arterial hypertension ... Transthoracic echocardiogram ... m/s • Other signs ... ventricular size, Right atrial ... pressure, Pulmonary
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Approach to the ... Embolism, Obstructive ... Gradient #alveolar #arterial ... #hypoxemia #differential ... #diagnosis