29 results
Differential Diagnosis of Pericardial Effusion

Trauma
Pericarditis
Recent MI
Autoimmune 
Neoplastic 
Endocrine/Metabolic 
Venous Congestion 
Medications 

- Dr. Tom Fadial https://twitter.com/thame

#Pericardial
of Pericardial Effusion ... Pericarditis Recent MI ... #Pericardial #Effusion ... Differential #Diagnosis #Management
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
in vitals and shock ... Echocardiogram #A4c ... clinical #cardiology #effusion
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Consider IL NS/LR infusion ... - MI, arrhythmia ... #Diagnosis #Management
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... Common Causes of Shock ... HEMORRHAGIC SHOCK ... CARDIOGENIC SHOCK ... #Shock #Management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Cardiogenic: Acute MI ... #Vasopressors #shock ... inopressors #diagnosis #management
Post-MI Free Wall Rupture
1. What's the role of revascularization when presenting with late STEMI?
2. What are
Post-MI Free Wall ... hemorrhagic pericardial effusion ... (FWR) after an MI ... pursue surgical management ... acuteMI #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... edema - Large effusion ... treatment for acute MI ... HeartFailure #Cardiology #Management
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... release syndrome, infusion ... uw_IMresidency #Shock
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
goal-directed stepwise management ... to next step if shock ... maintain normal perfusion ... #Shock #Algorithm ... Pediatrics #Sepsis #Management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... of hypotension Shock ... Distributive Shock ... O2 delivery • MI ... Classification #diagnosis #management