62 results
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential Diagnosis ... CO / High SVR, JVP ... CO / High SVR, JVP ... Pneumothorax, Cardiac Tamponade ... #Differential #Diagnosis
Massive Pericardial Effusion on Echocardiogram

I recently saw the largest pericardial effusion of my life. Something out
Pericardial Effusion on Echocardiogram ... Pericardial #Effusion #Echocardiogram ... POCUS #Clinical #S4C ... #Massive #Tamponade
FAST - Cardiac Tamponade - Torn atrial appendage.
WCUME 2017 Submission for Best POCUS - Massive hemopericardium
FAST - Cardiac Tamponade ... coagulating blood and tamponade ... Trauma #POCUS #Echocardiogram ... #SC4C #Hemorrhagic ... #Tamponade #Hemopericardium
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
POCUS Pearls for Tamponade ... SAlerhand #Cardiac #Tamponade ... #POCUS #Diagnosis ... Cardiology #Effusion #Echocardiogram
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... PCWP • Exam: ↓ JVP ... PCWP • Exam: ↑ JVP ... tension PTX, cardiac tamponade ... #Differential #Diagnosis
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
Pericardial Clot on Echocardiogram ... large clot and tamponade ... clot #thrombus #Echocardiogram ... clinical #cardiology #a4c
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... heart sounds, JVD ... Pericardial #Cardiac #Tamponade ... #Becks #Triad #Diagnosis
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
- Differential Diagnosis ... Distributive Shock - Low JVP ... • Cardiac Tamponade ... #Differential #Diagnosis
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 ... velocity of 9.5 cm/sec ... expiration not meeting diagnostic
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
pericardial #effusion #tamponade ... MyocardialInfarction #AMI #POCUS #Echocardiogram ... ultrasound #Cardiology #A4c