23 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... Pneumothorax • Pulmonary ... embolism • Cardiac ... rupture Initial workup ... EKG • Bedside ultrasound
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
RV Strain in Pulmonary ... Embolism on POCUS ... your next step in management ... #RVStrain #Pulmonary ... Echocardiogram #clinical #ultrasound
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... Prognostication based on scores ... @nickmmark #Pulmonary ... #Embolism #Risk ... prognostication #diagnosis #management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
mainstay of initial management ... mainstay of initial management ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... and Management ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Embolism, Pneumothorax
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... Injury By: • Early embolic ... • Paradoxical emboli ... Endocarditis #diagnosis #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... endocarditis w/ septic pulmonary ... with multiple embolic ... • Aggressive management ... #Endocarditis #checklist
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... (no B-lines on ultrasound ... cardiogenic shock #Checklist ... HeartFailure #Cardiology #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Setup - Ultrasound ... and Survey 4) Workup ... Tamponade - Pulmonary ... Shock #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
• Call for ultrasound ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup