13 results
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
X-ray - Lung ultrasound ... clinically indicated (e.g ... . echocardiogram ... , EKG) Dr. ... iBookCC #COVID19 #algorithm
Point of Care Transesophageal Echocardiogram during Cardiac Arrest

POC-TEE in cardiac arrest: Instant recognition of shockable rhythm
Transesophageal Echocardiogram ... a pulse check (ECG ... cardiacarrest #acls #echocardiogram ... #clinical #ultrasound ... transesophageal #vfib
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
Dissection on POCUS Echocardiogram ... EKG: afib, twi I ... #Aorta #POCUS #Echocardiogram ... #Clinical #Ultrasound
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Transesophageal Echocardiogram ... ECG: AF. ... CHA2DS2VASc: 5. ... @odremanr #Atrial ... Transesophageal #Ultrasound
Atrial Myxoma on POCUS Echocardiogram (PLAX)

Adolescent patient presents with chest pain and dyspnea. Beside TTE found
Atrial Myxoma on ... POCUS Echocardiogram ... the lab work, EKG ... - VCU Ultrasound ... Myxoma #POCUS #Echocardiogram
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup Algorithm ... Initial workup: • EKG ... • Bedside ultrasound ... , PT. aPTT • Serial ... Pain #Diagnosis #Algorithm
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
Hypercoagulable State Arterial ... rhythm monitoring, Echocardiogram ... risk actor for arterial ... • Provoked (e.g ... hematology #diagnosis #algorithm
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... palpitations: PVC • Gradual ... brain flow (VT/Vfib ... /Afib/WPW) • Loss
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... Obtain femoral arterial ... visualization with use of ultrasound ... Cardiogenic #Shock #Algorithm
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (- ... Metoprolol - VCU Ultrasound ... HCM #clinical #echocardiogram