32 results
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... 66% of shock) • Septic ... failure from massive pulmonary ... embolism or severe pulmonary ... #diagnosis #management
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Possible small plural effusion ... atelectasis has static ... Possible bilateral effusion ... submassive PE) POCUS ... #signs #Lung #POCUS
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... • Most common type ... of shock) • Septic ... Classification #Types ... #diagnosis #management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... of poor organ perfusion ... pressure (PEEP) for pulmonary ... SEPTIC SHOCK • ... #Shock #Management
Ankle Arthrocentesis on POCUS

This patient presented with non traumatic ankle pain & swelling. PoCUS can detect
Arthrocentesis on POCUS ... PoCUS can detect ... an effusion and ... makes a septic ... #ultrasound #msk
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
: conjunctival suffusion ... and diarrhea • Aseptic ... failure • Severe pulmonary ... diagnosis #treatment #management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Diagnosis and Management ... defect (Type 1) ... anatomic shunt (Type ... cirrhosis • Intra-pulmonary ... scanning or pulmonary
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
RV Strain in Pulmonary ... Embolism on POCUS ... your next step in management ... followed by 90mg iv infusion ... #Embolism #POCUS
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
splenomegaly • Hepatic ... hepatitis • Pulmonary ... : pleural effusion ... Disease #diagnosis #management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
shock/hypoxemia/Sepsis ... / hypoxemia -> focus ... on improving perfusion ... output - Acute pulmonary ... syndrome - Sepsis