26 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... EKG • Bedside ultrasound ... Serial troponin; HEART
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... pericardial #effusion #tamponade ... MyocardialInfarction #AMI #POCUS ... Echocardiogram #ultrasound ... #Cardiology #A4c
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
Cardiac Tamponade ... tamponade. ... #Tamponade #POCUS ... #clinical #ultrasound ... trauma #cardiology #s4c
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
Hypotensive Patient - Differential ... Blood Pressure = Heart ... Bradycardia (inadequate cardiac ... • Pericardial tamponade ... #diagnosis #causes
VExUS - Venous Excess Ultrasound Score 

The Venous Excess UltraSound (VExUS) grading system prototypes combining inferior
Score The Venous ... reversed (toward the heart ... seen during the cardiac ... #Score #Scale # ... Congestion #Diagnosis #POCUS
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider: o Cardiac ... Anaphylaxis → 3-1 o Cardiac ... tamponade → 3-9 ... Sepsis → 3-14 o Cardiac ... #Hypotension #Differential
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Abnormalities - Differential ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD ... Diagnosis #Algorithm #causes
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (S4c)
Hypotensive + respiratory distress. At first glance you
Effusion causing Cardiac ... (S4c) Hypotensive ... tamponade! ... #ultrasound #s4c ... echocardiogram #POCUS
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... failure): • Severe heart ... tamponade, Vascular ... findings based on cause ... uw_IMresidency #Shock #Differential
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Right-Sided Heart ... Failure - Differential ... Diagnosis Algorithm Cardiac ... Left-Sided Heart ... • Pericardial Tamponade