23 results
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
Pulmonary Embolism ... most support her diagnosis ... and paradoxical septal ... #Pulmonary #Embolism ... #a4c #mcconnells
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on POCUS Echocardiogram ... Differential/diagnosis ... #Echocardiogram ... #A4c #clinical
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
• Neurogenic Cold ... Sounds • Pulmonary ... Embolism ... Pneumothorax • Cardiac ... Tamponade - Hypovolemic
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
) • Septic → dysregulated ... embolism or severe ... pneumothorax, cardiac ... tamponade, constrictive ... Classification #Types #diagnosis
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
) • Septic → dysregulated ... embolism or severe ... pneumothorax, cardiac ... tamponade, constrictive ... Classification #types #diagnosis
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... Vasodilation) - Septic ... flow) - Massive pulmonary ... embolism - Pericardial ... tamponade - Tension
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 • Obstructive shock is characterized by a blockage in
tamponade, or tension ... Echocardiographic Signs ... Pulmonary embolism ... Tamponade: pericardial ... #criticalcare #diagnosis
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... (A4C) A4c view ... Diagnosis concerning ... for Pulmonary Embolism ... #A4C #clinical
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Medications, Spinal Cord ... , CVP > 12 • Pulmonary ... Embolism, Tension ... Pneumothorax, Cardiac ... Tamponade Hypovolemic
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Pericarditis on Echocardiogram ... A 55-year-old ... ASA, Kussmaul's sign ... expiration not meeting diagnostic ... #a4c #pocus #clinical