54 results
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
criteria required to diagnose ... (2) Target organ ... - Pulmonary edema ... might support the diagnosis ... #Emergency #Diagnosis
34 yrs old patient, childbirth 3 weeks ago without problem. Acute supra-ombilical pain since 6 hours.
Strangulated hernia ... Diagnosis <15 min ... #Strangulated #hernia ... #umbilical #clinical ... #ultrasound #pocus
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
receptor type 2) ... hemangiomatosis 2. ... Pulmonary hypertension ... Pulmonary hypertension ... Classification #Diagnosis
Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)
Portal Hypertension ... Budd-Chiari syndrome 2) ... due to sepsis (umbilical ... surgery #Portal #Hypertension ... gastroenterology #diagnosis
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
Cardiomyopathy, Hypertension ... Direct SARS-COV-2 ... illness, Sepsis, Pulmonary ... disruption - Type 2 ... Classification #diagnosis
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... Pulmonary embolism ... RJonesSonoEM #Pulmonary ... Echocardiogram #A4c
Interpreting Right Heart Catheterizations

Always interpret a RHC based on the indication for getting the test. This
hypertension 1 ... hypertension? ... mean > 20 mmHg_ 2. ... Catheterization #RHC #diagnosis ... #pulmonary #hypertension
Syncope - Differential Diagnosis
The percentage of syncopal events secondary to arrhythmias or structural disease is generally
- Differential Diagnosis ... stenosis • HOCM • Pulmonary ... hypertension ... Falls Unknown - 2% ... #differential #diagnosis
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Causes of Portal Hypertension ... due to sepsis (umbilical ... including surgery 2) ... #differential #diagnosis
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
- Differential Diagnosis ... Pulmonary/Chest ... Pleural effusion, Pulmonary ... Hypertension Cardiovascular ... Abdominal wall hernia