14 results
Aorto-caval fistula on POCUS

Pulsatile Ao superficial to the spine. Hyperechoic mantle clock shaped SMA superficial to
Aorto-caval fistula ... @RELewiss #Aortocaval ... #fistula #clinical ... #ultrasound #vascular
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... • Obstructive: Pulmonary ... compartment syndrome, Vascular ... algorithm #treatment #management
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Cardiac: • Valvular ... Decompensated HF ... Noncardiac: • Pulmonary ... Fibrillation #Cardiology #Management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Heart Failure, Valvular ... Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... in cardiogenic pulmonary ... (no B-lines on ultrasound ... #Checklist #CHF ... HeartFailure #Cardiology #Management
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
x-ray (left) and CHF ... diameter of the pulmonary ... Furthermore the fissura ... #CXR #Lateral #CHF ... #Vascular #Engorgement
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Cathepsin G release → vascular ... Imaging: CXR- pulmonary ... sepsis), PE, DAH, CHF ... APML #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... - Peripheral vascular ... days before Pulmonary ... medical and surgical management
Renal Artery to IVC Arteriovenous Fistula on Angiography

44 yr male, DOE, bounding pulse, BP 150/68, mid
Arteriovenous Fistula ... High output HF due ... IVC renal artery fistula ... Ultrasound showed ... clinical #cathlab #vascular
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... differential #algorithm #management ... #heartfailure #chf