27 results
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
RV Strain in Pulmonary ... Embolism on POCUS ... your next step in management ... #RVStrain #Pulmonary ... ultrasound #DSign #AcutePE
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... History and Exam Acute ... life-threatening causes: • Acute ... Pneumothorax • Pulmonary ... embolism • Cardiac
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Hyperacute Hypoxemia - Workup ... and Management ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Embolism, Pneumothorax
Cavitary Lung Disease - Differential Diagnosis and Workup Algorithm
Acute / Subacute:
 • Acute Infections: Lung abscess,
Diagnosis and Workup ... Algorithm Acute ... Subacute: • Acute ... Pneumonia, Septic Emboli ... Algorithm #lesion #pulmonary
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of Acute RV Failure ... involving RV, Pulmonary ... Embolism] • Evaluate ... Concomitant Pericardial Disease
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... bleeding with tPA ... @nickmmark #Pulmonary ... #Embolism #Treatment ... #AcutePE #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Pre-existing valvular disease ... Congenital heart disease ... Culture (+): Acute ... Cerebral > Splenic, pulmonary ... Endocarditis #diagnosis #management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
MI, Acute Heart ... Failure, Valvular Disease ... Pericardial tamponade, Pulmonary ... embolism 2) Understand ... inopressors #diagnosis #management
Red Blood Cell (RBC) Morphology Atlas
 • Microcytic - Iron-deficiency anemia, Thalassemia, Sideroblastic anemia, Lead poisoning
Malignant tumors, Acute ... , Liver diseases ... PD deficiency, Pulmonary ... emboli • Schistocytes ... #differential #hematology
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... of Acute Exacerbation ... AECOPD) Obtain workup ... Echo, LE doppler, CTA ... Exacerbation #treatment #pulmonary