14 results
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
Subcostal 4 Chamber (S4C ... presents with 1 ... appearance of heart on CXR ... large pericardial effusion ... #S4C
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
Apical 4 Chamber (A4C ... presents with 1 ... appearance of heart on CXR ... large pericardial effusion ... #A4C
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
Echocardiogram - A4C ... BUN/Cr- 128/9.4. ... stopped after 1 ... Echocardiogram #A4C ... #clinical #cardiology
Radiation Injury
Acute Radiation Toxicity primarily affects rapidly dividing cells based on dosage
Hematopoiteic - Pancytopenia, Infection
 •
people) = 4.5 Gy. 1 ... Gy = ~10,000 CXRs ... Lymphopenia is first lab ... prognosis • ALC ... Toxicity #diagnosis #management
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
Start continuous CPR ... using standard protocols ... Recovery may take >1 ... thiopental or propofol ... Checklist #Diagnosis #Management
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
major haemorrhage protocol ... . ❼ Use rapid infusion ... equipment. ❽ Discuss management ... interventional radiology ... • Use lab testing
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Presentation 1. ... bilateral pleural effusions ... → no signs of CXR ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between
thrombus occupying 1/ ... MI effecting [LAD ... Thrombus #clinical #cardiology ... echocardiogram #pocus #a4c
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Echocardiogram (1) ... Layered clot seen in LA ... by the LAA appears ... Echocardiogram #clinical #cardiology ... #a4c #thrombus
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Echocardiogram (a4c ... sinus rhythm... 1. ... This can be LA aneurysm ... #left #atrium #a4c ... Echocardiogram #clinical #cardiology