18 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... Clinical • ... Abnormal ECG, echocardiogram ... • Cardiogenic shock ... Diagnosis #Management #Cardiology
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... Vascular tone): • Sepsis ... #Differential # ... Diagnosis #table
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... Valves (wide open MR ... Obstruction (HOCM, critical ... DISTRIBUTIVE: Sepsis ... #diagnosis #differential
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... Sister had MI in ... Differential/diagnosis ... #A4c #clinical ... #cardiology #McConnells
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death Common Clinical ... Inflammatory: infectious (sepsis ... O2 delivery • MI ... #criticalcare #differential
UNDIFFERENTIATED SHOCK

1. Echo is a powerful differentiator 
2. Echo ALL shock patients!
Sam Ghali @EM_RESUS
#Clinical #POCUS #Echocardiogram
UNDIFFERENTIATED SHOCK ... Ghali @EM_RESUS #Clinical ... #POCUS #Echocardiogram ... #Differential # ... Table #Undifferentiated
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death Common Clinical ... Inflammatory: infectious (sepsis ... O2 delivery • MI ... #criticalcare #differential
Mucoid Degeneration of the ACL
Imaging Findings:
 • T2-hyperintense fluid-signal within the enlarged ACL on both the
• The anterior cruciate ... mucinous signal on MRI ... Differential Diagnosis ... #mri #clinical ... #Radiology #diagnosis
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
, Shock, Hypoxia ... are typically able ... Consider Sepsis, ... #echocardiogram ... #management #clinical
Cortical Desmoid - MSK Radiology
Imaging Findings:
 • Circumscribed, small cortically based Tl -hypointense and T 2-hyperintense
Desmoid - MSK Radiology ... Differential diagnosis ... MR is able to distinguish ... Cortical #Desmoid #clinical ... #mri #clinical