267 results
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
↓ CO, ↑ SVR, ↓ PCWP ... , narrow pulse pressure ... ↓ CO, ↑ SVR, ↑ PCWP ... ↓ CO, ↑ SVR, ↓ PCWP ... findings based on cause
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
most frequently caused ... The other cause ... pneumonia: Viral PCP ... This was a PCP-infection ... #Clinical #Radiology
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... significantly, it causes ... for underlying cause ... Jugular #IJ #Vein #POCUS ... #vascular #clinical
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Diagnosis Portal Pressure ... = the pressure ... >10 mmHg - clinically ... Post-Hepatic: • Cardiac causes ... Differential #Diagnosis #causes
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Causes of Secondary ... lability in blood pressure ... hypertension (blood pressure ... 109 mm Hg) with clinical ... hypertension (blood pressure
LAD STEMI on with Anterior Hypokinesis POCUS Echocardiogram

What's the diagnosis?? 63 year old with BP of
Anterior Hypokinesis POCUS ... Pt required pressors ... #Hypokinesis #POCUS ... Echocardiogram #clinical
Pathological Optic Disc Cupping

Note cup-to-disc ratio at least 0.8 (physiologic limit of 0.5).

Thinning of optic disc
Usual cause is glaucoma ... Glaucoma causes ... high intraocular pressure ... ophthalmology #Clinical
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
(EN) on Chest POCUS ... Pulmonary teaching case ... intra-thoracic pressure ... intra-thoracic pressure ... Necessitans #EN #Chest #clinical
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Secondary Causes ... based on repeat clinic ... Ambulatory blood pressure ... monitor, Self/Home pressure ... RAS Metabolic Causes
Paradoxical Respirations in Diaphragmatic Paralysis

Note the paradoxical movement of the abdomen during inspiration. The accessory inspiratory
intrathoracic pressure ... This change causes ... Breathing #Diaphragm #Clinical