60 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Triage EKG (no prior ... Differential/diagnosis ... Embolism #POCUS #Echocardiogram ... A4c #clinical #cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... hypertension Management ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Leads (VI-V3) +/- Inferior ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Differential Diagnosis ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... CXR, CTA Chest, Echocardiogram ... #criticalcare
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
Mediastinal Widening - Differential ... Diagnosis • ... mass • Masses: Anterior ... #Diagnosis #pulmonary ... #radiology
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Diagnosis Framework ... Diagnosis: • ... Primary Vascular: Pulmonary ... #Diagnosis #Management ... #pulmonary #criticalcare
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
to SAM on POCUS Echocardiogram ... Diagnosis? ... Management? ... #Systolic #Anterior ... #ultrasound #Cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #Diagnosis #criticalcare ... algorithm #treatment #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
endocarditis w/ septic pulmonary ... block (+/- daily EKG ... • Aggressive management ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... , echocardiogram ... cardiac death Management ... #Management #Cardiology