28 results
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... PCWP • Exam: ↓ JVP ... release syndrome, infusion ... uw_IMresidency #Shock ... #Differential #
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Consider IL NS/LR infusion ... - Distended neck ... crackles, elevated JVP ... #Diagnosis #Management
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Pericardiocentesis on POCUS Echocardiogram ... in vitals and shock ... Pericardiocentesis #POCUS #Echocardiogram ... A4c #clinical #cardiology ... #effusion #pericardial
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... to next step if shock ... maintain normal perfusion ... pressure (MAP – CVP ... Pediatrics #Sepsis #Management
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
transmitted to JV ... excludes other differentials ... #PhysicalExam #JVP ... #Cardiology #Neck
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
which rules out CV fusion ... have elevated JVP ... #Giant #PHTN #JVP ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Abnormal ECG, echocardiogram ... • Cardiogenic shock ... cardiac death Management ... Myocarditis #Diagnosis #Management ... #Cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Pericarditis on Echocardiogram ... 100/82, HR 74, JVP ... transthoracic echocardiogram ... circumferential pericardial effusion ... pocus #clinical #cardiology
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... Differential Diagnosis ... , Volume Exam (JVP ... CXR, CTA Chest, Echocardiogram ... Workup #diagnosis #Management
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
for pericardial effusion ... shunt lesions) • Differentiate ... Echocardiography #diagnosis #cardiology ... #echocardiogram