40 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
chest/abd/back pain ... AR murmur • Focal ... BP: • Control pain ... heart rate: i.v. ß-blocker ... #Dissection #diagnosis
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Cardiogenic Shock: Beta-Blockers ... Calcium Channel Blockers ... systemic HTN, aortic ... #Differential #Diagnosis
Median nerve block on POCUS ultrasound
Median nerve block for foreign body removal.  Amazingly good needle
Median nerve block ... on POCUS ultrasound ... Median nerve block ... clinical #anesthesia #local ... #pain
Aortic Dissection - Diagnosis and Acute Management
Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt
Aortic Dissection ... - Diagnosis and ... Acute Management Pain ... diastolic murmur, Focal ... Surgeon. 1) Control Pain
Syncope - Differential Diagnosis Framework
Reflex Syncope:
• Vasovagal: Prolonged standing, Stress, Pain
• Situational: Coughing, Sneezing, Micturition, Defecation,
- Differential Diagnosis ... standing, Stress, Pain ... Medication Effect: a-blockers ... Sinus pauses, AV block ... • Mechanical: Aortic
Landmarks for Serratus Anterior Plane Block (SAPB) on POCUS
Pain related to rib fractures can be difficult
Anterior Plane Block ... SAPB) on POCUS Pain ... Ultrasound guided ... #anesthesia #pain ... #local #anatomy
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
Diagnosis? ... IV fluids and Beta ... blockers. ... Echocardiogram #ultrasound
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... Tachy-Brady syndrome • Aortic ... Medications: • Beta ... channel blockers ... #differential #diagnosis
Post-TAVR Suicide Left Ventricle
Pre-TAVR: High afterload from aortic stenosis leads to compensatory left ventricular hypertrophy and
afterload from aortic ... ✓ Continue Beta ... Blockers through ... Left #Ventricle #diagnosis
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... infarction • Aortic ... EKG • Bedside ultrasound ... MatthewHoMD #Chest #Pain ... #Diagnosis #Algorithm