19 results
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... evaluating for other causes ... leads) RV Ischemia ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Dissection on POCUS ... Non-ischemic EKG ... What's the Diagnosis ... Echocardiogram #PLAX #Clinical ... #Ultrasound #POCUS
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Troponin, Lactate, Liver ... (no B-lines on ultrasound ... antiarrhythmics - Ischemic ... #Checklist #CHF ... #HeartFailure #Cardiology
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
gas on hepatic ultrasound ... i.e. mesenteric ischemia ... variety of other causes ... #hepatology #liver ... #pocus #clinical
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
, - regional ischemia ... / hypoxemia -> focus ... - regional ischemia ... output - Acute pulmonary ... - Mesenteric ischemia
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... Causes include: ... level <100 pg/ml EKG ... • Negative for ischemic ... #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... See thread for POCUS ... seen in 34% of cases ... #clinical #cardiology
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Venous Gas on POCUS ... Pneumatosis Patient has ischemic ... Both cause intrahepatic ... #clinical #abdominal ... #ultrasound #Liver
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Septic Emboli Cause ... Early embolic/ischemic ... ↑ ESR, CRP • EKG ... #management #cardiology
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
Cryofibrinogenemia Clinical ... limb and bowel ischemia ... thrombophlebitis, pulmonary ... : • + Clinical ... cryoglobulins • Negative causes