24 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Hypovolemic shock ... Endocarditis - Post-MI ... chronic HTN - HOCM ... #Cardiogenic #Comparison ... #Table #Diagnosis
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 ... #pocus
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Resonance Imaging (MRI ... #POCUS #radiology ... #differential # ... diagnosis #comparison ... #table #appearance
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 ... #Differential # ... Diagnosis #table ... #comparison #criticalcare
X-ray limitations
It’s important to know the limitations of X-rays so we can correctly interpret them in
interpret them in clinical ... Care UltraSound (POCUS ... ) to CT or MRI. ... #Diagnosis #Radiology ... #Limitations #Comparison
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... Cystic #Cysts #Differential ... #Comparison #Table
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
UNDIFFERENTIATED SHOCK

1. Echo is a powerful differentiator 
2. Echo ALL shock patients!
Sam Ghali @EM_RESUS
#Clinical #POCUS #Echocardiogram
UNDIFFERENTIATED SHOCK ... Ghali @EM_RESUS #Clinical ... #POCUS #Echocardiogram ... #Differential # ... Table #Undifferentiated
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... NodularPattern #Differential ... #Comparison #Table