15 results
An Approach to Acute Dyspnea - Diagnostic Framework

From the HPI, PMH, vitals, focused physical exam (e.g.
physical exam (e.g ... . cardiac, pulmonary ... one of 8 basic patterns ... Acute #Workup #Algorithm
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Pulmonary embolism ... RJonesSonoEM #Pulmonary ... Echocardiogram #A4c #clinical
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Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... See thread for POCUS ... (II, III, AVF)(pattern ... #clinical #cardiology
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
in normal lung, pulmonary ... disease, idiopathic pulmonary ... artifact); (G) UIP pattern ... #Clinical #Diagnosis ... #HRCT #POCUS #Lung
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... doppler, CTA • ECG ... of AECOPD: • Clinical ... #COPD #AECOPD #Algorithm ... Exacerbation #treatment #pulmonary
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 ... associated with a clinical ... #Clinical #Diagnosis ... PulmonaryComplications #Patterns
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
» HEMODYNAMIC PATTERNS ... → ↓ → →↑ Pulmonary ... CI/BVI Blood Flow ... +2PDP)/3 Mean Pulmonary ... LCWI 3.4-4.2 kg
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... Change in clinical
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... range of possible clinical ... with presence of pulmonary ... ECG is vital while ... #differential #algorithm
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
of lactate as a clinical ... a multitude of clinical ... the appropriate clinical ... / hypoxemia -> focus ... output - Acute pulmonary