11 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
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 ... #pulmonary #Hypoxia ... #hypoxemia #differential
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... to neurologic injury ... embolus SHUNT ... shunting (eg, atrial ... #Differential #
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
Edema (NCPE) - Differential ... Traumatic brain injury ... evidence of left atrial ... spiral arteries ... dyspnea, tachypnea, hypoxemia
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
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
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
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
bronchial wall injury ... Chronic cough • Hypoxia ... Nasal polyps and signs ... CT) • Broncho-arterial ... #differential #
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... liver or renal injury ... output - Acute pulmonary ... ’s • Reduced Arterial ... gluconeogenesis Liver Injury
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... Libman Sacks) • Atrial ... Cerebral > Splenic, Pulmonary ... cause injury by ... #Endocarditis #Differential