21 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... Abnormal ECG, echocardiogram ... • Cardiogenic shock ... #Myocarditis #Diagnosis
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Diagnosis by Classification ... contractility) - Acute MI ... #Differential #Diagnosis ... Classification #Table
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Cardiogenic: Acute MI ... #inopressors #diagnosis ... management #comparison #table
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Endocarditis - Post-MI ... Cardiogenic #Comparison #Table ... #Diagnosis #Features
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Echocardiogram ... Sister had MI in ... Differential/diagnosis ... #Echocardiogram
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UNDIFFERENTIATED SHOCK

1. Echo is a powerful differentiator 
2. Echo ALL shock patients!
Sam Ghali @EM_RESUS
#Clinical #POCUS #Echocardiogram
UNDIFFERENTIATED SHOCK ... Echo ALL shock patients ... EM_RESUS #Clinical #POCUS ... #Echocardiogram ... #Differential #Table
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Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Resonance Imaging (MRI ... #Contrast #CT #MRI ... #POCUS #radiology ... #differential #diagnosis ... #comparison #table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure, acute MI ... uw_IMresidency #Shock ... #table #comparison
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Tamponade in a Shock ... good enough at diagnosing ... EM_RESUS #Clinical #POCUS ... #Echocardiogram
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Degenerated Left Atrial Myxoma on Echocardiogram (PLAX)
A 68-year-old gentleman with progressive shortness of breath and cystic
Atrial Myxoma on Echocardiogram ... Final diagnosis ... myxoma with severe MR ... Atrial #Myxoma #Echocardiogram ... clinical #cardiology #pocus
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