13 results
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Type A Dissection ... Non-ischemic EKG ... What's the Diagnosis ... #Dissection #Aortic ... #Aorta #Echocardiogram
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... Pearls Aortic dissection ... the wall of the aorta ... Pulse deficit/differential ... #Dissection #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
: Acute STEMI, Aortic ... dissection, PE, ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #EKG #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential #
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STE: "Pardee's sign ... Post-cardioversion • Acute aortic ... dissection • ... #ecg #ekg #electrocardiogram
Venous Thrombosis vs Arterial Thrombosis - Differential Diagnosis Framework

VENOUS THROMBOSIS

 • Acquired Risk Factors:
	- >48 hours
Arterial Thrombosis - Differential ... Diagnosis Framework ... atheroemboli) • Aorta ... - Aortic dissection ... Venous #Arterial #pathophysiology
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
Back Pain - Differential ... Diagnosis Primary ... Referred Pain: • Aorta ... : Dissection, Aneurysm ... #Diagnosis #causes
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Mechanical → severe aortic ... valvular rupture, dissection ... of ascending aorta ... #diagnosis #management ... #criticalcare #differential
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
duodenum Clinical Signs ... • Should be on differential ... Pathophysiology: ... de novo between aorta ... or within the aorta
This is a suprasternal notch view demonstrating an aortic flap in a patient with a Stanford
with a Stanford Type ... dissection. ... with suspicious signs ... for a more rapid diagnosis ... SuprasternalNotch #AorticFlap #Aorta