16 results
clinical criticalcare echocardiogram a4c clots ultrasound checklist comparison embolism marantic mcconnells nbte noninfective pulmonary sign summary acute admissions admitting algorithm
This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:
What's the diagnosis ... this is a rare echo ... Thrombus in transit ... #Clinical #POCUS ... #Clots #InTransit
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 Cool echo - RV strain, McConnell sign, and CLOT IN TRANSIT!! BP is normal and pt
Cool echo - RV strain ... What's your management ... #Clinical #POCUS ... Pulmonary #Embolism #Thrombus ... #Clots #InTransit
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 Non-Infective Endocarditis (NBTE / Marantic Endocarditis) Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
vegetation on echo ... signs/symptoms or echo ... demonstration of platelet thrombi ... is required for diagnosis ... NBTE #Marantic #diagnosis
IVC Thrombus on POCUS The echo moving independently within the IVC likely represents an IVC thrombus If
IVC Thrombus on ... POCUS The echo ... represents an IVC thrombus ... #POCUS #clinical ... ultrasound #VTE #InTransit
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 This is the bedside Echo of a critically ill young lady who was transferred in profound
Her working diagnoses ... embolized from the deep ... EM_RESUS #Clinical #POCUS ... MassivePE #Embolism #Thrombus ... #Clots #InTransit
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 Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... Consider repeat echo ... • Aggressive management ... #criticalcare #diagnosis ... #management
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
signs/symptoms or echo ... specific to NBTE, and diagnosis ... demonstration of platelet thrombi ... is required for diagnosis ... NBTE #Marantic #diagnosis
Normal Deep Veins on POCUS This patient had no thrombus seen in bilateral proximal compression scan from
Normal Deep Veins ... on POCUS This ... patient had no thrombus ... Has spont echo contrast ... and pursue other diagnoses
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 Auto-PEEP What is Auto-PEEP? • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
Auto-PEEP What ... is Auto-PEEP? ... = intrinsic PEEP ... #pulmonary #diagnosis ... #management #criticalcare
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Endocarditis Summary ... Differential Diagnosis ... Diagnosis? ... cultures • 2D Echo ... #diagnosis #management
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