10 results
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential ... dissection • ... • Hypovolemic shock ... regurgitation ... Disorders #Cardiology #Differential
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... Examine for: • Pulse ... deficit/differential ... deficit • Shock ... #management #vascular
Type A Aortic Dissection on Suprasternal Notch View - POCUS
Sudden onset chest pain. Disturbingly normal vitals.
Type A Aortic Dissection ... No pulse in LLE. ... Type A Aortic Dissection ... #Aortic #Dissection ... POCUS #clinical #vascular
Aortic Dissection on POCUS Echocardiogram (PLAX)

Parasternal long axis of the heart showing a dilated AOFT >4cm
Aortic Dissection ... Echocardiogram (PLAX ... regurgitation jet ... patient had a type ... A aortic dissection
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Causes of Wide Pulse ... Pressure - Differential ... Pathologic: • Valvular ... regurgitation ... - aortic sclerosis
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... rupture, dissection ... of ascending aorta ... ) • Puimonary vascular ... #criticalcare #differential
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... hemochromatosis) Valvular ... systemic HTN, aortic ... dissection ... #Differential #
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
- Differential ... Pathologic Causes: • Valvular ... disorders: - Aortic ... - Aortic sclerosis ... #Pressure #Differential
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
• Most common type ... rupture, dissection ... of ascending aorta ... • Pulmonary vascular ... Classification #Types
Causes of Ischemic Stroke - Differential Diagnosis Algorithm
Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia
 - Large
Ischemic Stroke - Differential ... Atherosclerosis, Arterial Dissection ... - Ascending Aorta ... Atrium • Valvular ... effusion • Shock