15 results
COVID-19 POCUS

96 yrs old, discharged 3 wks ago for CAP, treated with amox/clav then cefixime. Returns
CXR with consolidation ... and likely effusion ... But this ultrasound ... bilateral pattern ... Clinical #Lung #Ultrasound
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Consider IL NS/LR infusion ... Setup - Ultrasound ... and Survey 4) Workup ... Shock #Diagnosis #Management
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
disease - Renal ultrasound ... Duplex Doppler ultrasound ... abdominal CT, Bilateral ... ) or IV saline infusion ... Causes #Screening #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... indicated, start CPR ... Plan definitive management ... Checklist #Diagnosis #Management ... #Workup
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Fat infiltrates maternal ... AP, ↑INR, ↑BUN/Cr ... Antithrombin Ill • Ultrasound ... Intrahepatic Cholestasis Management ... obgyn #diagnosis #management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
gallop rhythm), and laterally ... alveolar edema, bilateral ... pleural effusions ... → no signs of CXR ... heartfailure #diagnosis #management
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
- Imaging: • CXR ... Rare: pleural effusions ... other processes Workup ... strep, HIV • CTD workup ... ILD #diagnosis #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... - RUQ ultrasound ... Intubated: Initiate enteral ... pain-dose ketamine infusion
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
anaesthetic (remember infusion ... Start continuous CPR ... Checklist #Diagnosis #Management ... #Workup
Pericardial Effusion seen during CPR on POCUS Echocardiogram

This patient was given an anesthetic and became unresponsive
Pericardial Effusion ... seen during CPR ... best choice for management ... #Pericardial #Effusion ... #clinical #ultrasound