25 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Endocarditis - Post-MI ... chronic HTN - HOCM ... #Cardiogenic #Comparison
MRI Brain Sequence Comparison: T1 vs T2 vs FLAIR
T1:
 - CSF is Dark
 - Grey Matter
MRI Brain Sequence ... Comparison: T1 ... T1 #T2 #FLAIR #MRI ... #Brain #Comparison ... #clinical #radiology
Intracardiac Septal Masses / Thickening on Echocardiogram - Differential Diagnosis - 4 separate cases:
Case 1: LV
- Differential ... Case 3: Apical HOCM ... #clinical #a4c ... #comparison #Differential ... #Diagnosis #cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Cardiomyopathy (HOCM ... elevated LVEDP ==> MRI ... #HCM #clinical ... #echocardiogram ... #plax #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... Clinical • ... Abnormal ECG, echocardiogram ... • Cardiogenic shock ... Diagnosis #Management #Cardiology
T-Wave ECG changes in Hyperkalemia vs Hyperacute MI
 - Hyperkalemia: Increased height, without increase area
 -
vs Hyperacute MI ... Hyperkalemia #Hyperacute #MI ... #clinical #cardiology ... electrocardiogram #comparison
X-ray limitations
It’s important to know the limitations of X-rays so we can correctly interpret them in
interpret them in clinical ... POCUS) to CT or MRI ... #Diagnosis #Radiology ... #Limitations #Comparison
Apical variant HCM - Importance of Acoustic Mismatch (CMR vs TTE)

Detailed Case Review: https://www.youtube.com/watch?v=2853TSxaeh4

V.L.Sorrell, MD @VLSorrellImages

#Apical
Apical variant HCM ... VLSorrellImages #Apical #HCM ... cardiacmri #CMR #comparison ... #Echocardiogram ... #clinical #cardiology
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... Valves (wide open MR ... Outflow Obstruction (HOCM ... , critical AS), ... #diagnosis #differential
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... uw_IMresidency #Shock ... #Differential # ... Diagnosis #table #comparison