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Ruptured Abdominal Aortic Aneurysm (AAA) on POCUS

Dr. Bob Stenberg @POCUSaurusRex

#Ruptured #Abdominal #Aortic #Aneurysm #AAA #POCUS #aorta
Aneurysm (AAA) ... on POCUS Dr. ... #Aneurysm #AAA ... #POCUS #aorta #clinical ... #ultrasound
Relevant Sonopathology of the Parasternal Long Axis (PLAX) - Point of Care Ultrasound
 - Right Ventricular
Point of Care Ultrasound ... Dilatation - Aortic ... Aneurysm - Papillary ... - Pericardial Effusion ... #Diagnosis #POCUS
Type A Aortic Dissection with Aortic Regurg Jet on POCUS

Sudden onset chest pain. Disturbingly normal vitals.
Jet on POCUS ... Disturbingly normal ... VCU Ultrasound @ ... #POCUS #Clinical ... #Ultrasound
AAA Endoleak on POCUS

80 y/o w severe abdominal pain, one year after endoprosthesis stent of an
of an abdominal aortic ... aneurysm. ... endoleak to the aneurysmal ... AAA #clinical #aorta ... #ultrasound #vascular
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
• Vascular: Aortic ... dissection, Aortic ... anourysm, Enlarged ... pulmonary arteries ... Pneumomediastinum, Pericardial effusion
Rupturing AAA on Point of Care Ultrasound (POCUS)

"Elderly patient presents with AMS and Hypotension RUSH exam
Point of Care Ultrasound ... (POCUS) "Elderly ... collapsible, Lungs normal ... AAA #Ruptured #Aneurysm ... Transverse #Color #POCUS
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 • PUMP: LV contractility, RV strain, tamponade
 • TANK: IVC
Rapid Ultrasound ... compromise • PIPE: Aortic ... dissection, aneurysms ... E-FAST • A - Aorta ... #pocus #shock
Right pleural effusion with "spine sign" seen beautifully by using large footprint curvilinear transducer on lung
Right pleural effusion ... Point of Care Ultrasound ... (POCUS) Dr. ... Sign #Clinical #POCUS ... #ultrasound #pulmonary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Associated Lung Ultrasound ... Possible bilateral effusion ... submassive PE) POCUS ... #signs #Lung #POCUS ... #ultrasound #findings
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Obstruction • Aortic ... Non-lschemic • Aortic ... • Dilating Aneurysm ... • Myocarditis Pulmonary ... • Pleural Effusion