46 results
Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint
Electrical Alternans ... on POCUS Echocardiogram ... You dissect the EKG ... POCUS ECHO performed ... Echocardiogram #clinical #effusion
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Exudative Effusion:
 - Pulmonary
     •
- Differential ... : - Pulmonary ... Increased Hydrostatic Pressure ... Decreased Oncotic Pressure ... #Differential #
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Dyspnea - Differential ... Valvulopathy • Electrical ... - Tamponade Pulmonary ... • Pleura: - Effusion ... #dyspnea #sob #differential
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential ... ↓ Atmospheric pressure ... (↑Shunting), ↓Perfusion ... Hypoxemia #Hypoxia #Differential ... Diagnosis #Algorithm #pulmonary
Acute Hypoxemia - Differential Diagnosis
 • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia - Differential ... Bronchospasm, Pulmonary ... Hemorrhage • Impaired Diffusion ... Emphysema, Positive Pressure ... Hypoxemia #hypoxia #Differential
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... lung diseases, pulmonary ... , pulmonary AVMs ... Failure #hypoxia #Differential ... #Diagnosis #pulmonary
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
cardiogenic shock (eg ... artery occlusion pressure ... capillary wedge pressure ... -right atrial pressure ... #NormalValues #Differential
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial Effusions ... Hemopericardium)- Differential ... • Malignancy (e.g ... patients with pulmonary ... Hemopericardium #Differential
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
on POCUS Good ... Reason for electrical ... EKG from same patient ... #swinging #electrical ... #alternans #POCUS
Pleural Manometry Summary
Measurement of Intrapleural Pressures and Pleural Elastance during therapeutic thoracentesis can be used to
of re-expansion pulmonary ... pleural pressure ... intermittently (e.g ... diagnosis #management #pulmonary ... #differential #