23 results
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
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 ... #Pericarditis #Echocardiogram
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hypoxemia - Workup and Management ... , Volume Exam (JVP ... CXR, CTA Chest, Echocardiogram ... Workup #diagnosis #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Consider IL NS/LR infusion ... - Distended neck ... crackles, elevated JVP ... Shock #Diagnosis #Management
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... maintain normal perfusion ... pressure (MAP – CVP ... Pediatrics #Sepsis #Management
Lancisi's sign (CV fusion wave from severe tricuspid regurgitation).

#Lancisis #sign #severe #tricuspid #regurgitation #JVP #Clinical #Video
Lancisi's sign (CV fusion ... regurgitation #JVP ... Clinical #Video #Neck
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
Embolism on POCUS Echocardiogram ... your next step in management ... followed by 90mg iv infusion ... Embolism #POCUS #Echocardiogram
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
draining pleural effusions ... happy lungs Nick ... #CriticalCare #Management
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
molecules via diffusion ... Modalities of RRT ... by Nick Mark MD ... #Therapy #RRT #managment ... #CRRT #Modes #modalities
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
increases coronary perfusion ... coronary artery perfusion ... Weaning by Nick ... Pump #diagnosis #management