10 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
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 #
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
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
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

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

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
bronchial wall injury ... Chronic cough • Hypoxia ... polycythemia from chronic hypoxia ... CT) • Broncho-arterial ... #differential #
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
quantify renal injury ... coagulopathy) • CBC w differential ... o infection • Echocardiogram ... blood retum in serial ... Renal #Syndromes #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
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