37 results
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 ... septal shudder by M‐mode
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
secretions, Recent head/neck ... Partial Face, Nasal Modes ... NAPS) by Nick Mark ... Ventilation #diagnosis #management
Overview of Ventilator Modes
VC - Volume Control (a.k.a. assist control volume)
 - Every breath delivered (mandatory
of Ventilator Modes ... - Hybrid PC mode ... combine w/ PS Nick ... #Ventilator #Modes ... CriticalCare #Comparison #Management
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
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
Hypothyroidism and Hyperthyroidism - Symptoms and Signs
Hypothyroidism:
 - General - From asymptomatic to myxedema coma, “Like
• Weight gain (modest ... Fatigue - Face/Neck ... • pericardial effusion ... Reflexes - Face/Neck
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
Predicting an anatomically and/or physiologically challenging airway is not a straightforward task by any stretch of
, Obstruction, Neck ... emergency airway management ... these prediction models ... Exsanguination, Neck
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
Massive Pericardial Effusion ... on Echocardiogram ... (PLAX and M-Mode ... #Pericardial #Effusion ... #Echocardiogram