11 results
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (A4C ... demonstrating ECG ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #a4c #electrical
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare # ... diagnosis #management
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (S4C ... demonstrating ECG ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #S4C #electrical
Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... checkpoint inhibitors (e.g ... infection and malignancy-associated ... reports of pleural effusion ... #Clinical #Diagnosis
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... Pyridostigmine - New diagnosis ... oral secretions (e.g ... (vital signs, clinical ... #Management #CriticalCare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... hyponatremia, AKI, etc ... will also get an EKG ... #diagnosis #workup ... #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
diagnosis but rather ... with presence of pulmonary ... ECG is vital while ... establishing a diagnosis ... heartfailure #chf #criticalcare
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... hypoxemia/Sepsis etc ... drugs, seizures, malignancy ... output - Acute pulmonary
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
needed to exclude effusion ... uncertainty (e.g ... other indication (e.g ... lab-confirmed influenza, pulmonary ... #Management #CriticalCare