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cardiology clinical differential management cardiac pocus causes radiology signs echocardiogram algorithm pulmonary symptoms heart cxr video radiologyassistant workup criticalcare pathophysiology
This is the bedside Echo of a critically ill young lady who was transferred in profound
Her working diagnoses ... around in the right heart ... this Echo in this clinical ... of Massive PE instantly ... #POCUS #Cardiac
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 Diagnostic Algorithm for Suspected Pulmonary Embolism Well's Criteria for PE • Clinical Signs and Symptoms of DVT
Diagnostic Algorithm ... Well's Criteria for PE ... • Clinical Signs ... less likely than PE ... -3 • Heart rate
Pericardial Tamponade Beck's Triad 1. Hypotension 2. Jugular venous distension 3. Muffled heart sounds Patient will be
Muffled heart sounds ... chest pain - PE ... will show muffled heart ... #Pericardial #Cardiac ... #Becks #Triad #Diagnosis
Cardiac Arrest - H's and T's HYPOVOLEMIA HYPOXEMIA HYPERKALEMIA HYPOKALEMIA H+ EXCESS HYPOTHERMIA TENSION PNEUMOTHORAX TAMPONADE - CARDIAC
Cardiac Arrest - ... TAMPONADE - CARDIAC ... THROMBOSIS - PE ... #Differential #Diagnosis
Underlying causes of PEA arrest: H’s and T’s Hypovolemia, Hypoxia, Hydrogen Ion (acidosis), Hypo/Hyper-kalemia, Hypothermia Toxins, Tamponade,
Pneumothorax, Thrombosis (heart ... lungs: massive PE ... #Differential #Diagnosis
Chest Pain - Diagnosis and Workup Algorithm History and Exam Acute life-threatening causes: • Acute myocardial infarction •
Chest Pain - Diagnosis ... Pulmonary embolism • Cardiac ... Serial troponin; HEART ... Well score for PE ... #Chest #Pain #Diagnosis
Hypertrophic Obstructive Cardiomyopathy: Heart Murmur • Occurs during systole • Crescendo-decrescendo murmur • Heard best
Cardiomyopathy: Heart ... Crescendo-decrescendo murmur • Heard ... Cardiomyopathy #Heart ... #Murmur #Cardiac ... #Cardiology #Diagnosis
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
- Differential Diagnosis ... failure): • Severe heart ... → tension PTX, cardiac ... tamponade, Vascular → PE ... #Differential #Diagnosis
Syncope in 3 Steps 1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA) 2. Heart vs
Heart vs SVR Heart ... Pump > AS, HOCM, PE ... #differential #diagnosis
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... performed) • Clinical ... Cardiovascular MRI Clinical ... shock, sudden cardiac ... #Myocarditis #Diagnosis
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