172 results
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
DDx = VT vs. ... - Fusion beats ... #VT #VTach #SVT ... VentricularTachycardia #Versus #ecg ... #ekg #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... 's female with chest ... Triage EKG (no prior ... Pulmonary embolism ... RJonesSonoEM #Pulmonary
Shark Tail Appearance of Consolidated Lung on Pleural Effusion on POCUS

Dr. David Feller-Kopman @dfellerk

#Pleural #Effusion #pulmonary
Lung on Pleural Effusion ... on POCUS Dr. ... dfellerk #Pleural #Effusion ... #pulmonary #Lung ... #POCUS #clinical
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Algorithm Ventilation/perfusion ... lung disease • Pulmonary ... Septal Defect Pulmonary ... Abnormalities • Chest ... Algorithm #Causes #Pulmonary
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Pericardial • Effusion ... Abnormalities • Pleural Effusions ... Thickening/Masses Chest ... • Neoplasm Pulmonary ... Vessels • Pulmonary
Right pleural effusion with "spine sign" seen beautifully by using large footprint curvilinear transducer on lung
Right pleural effusion ... Care Ultrasound (POCUS ... Sign #Clinical #POCUS ... Lung #Pleural #Effusion ... #ultrasound #pulmonary
Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of
indicative of pleural effusion ... absence of pleural effusion ... #SpineSign #POCUS ... Clinical #Pleural #Effusion ... #Pulmonary #Lung
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
High altitude (eg ... lung diseases, pulmonary ... asthma, COPD, pulmonary ... , pulmonary AVMs ... Differential #Diagnosis #pulmonary
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
neuromuscular disease, ↓ chest ... (↑Shunting), ↓Perfusion ... Dead space) • ↓Diffusion ... Diagnosis #Algorithm #pulmonary
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Initiate judicious infusion ... of poor organ perfusion ... blood cell (PRBC) infusion ... pressure (PEEP) for pulmonary ... , and titrate infusion