19 results
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential ... drop in arterial pressure ... • Hypovolemic shock ... regurgitation ... Disorders #Cardiology #Differential
Physical Exam - Corrigan's Pulse

While the patient was sitting upright, the right carotid artery was visibly
chronic severe aortic ... regurgitation and ... pressure with large ... fall in arterial pressure ... PhysicalExam #Video #Neck
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Widened Pulse Pressure ... Pulse Pressure = ... Pulse Pressure = ... - Aortic sclerosis ... #Pressure #Differential
Dancing Carotids - Corrigan's Pulse in severe Aortic Regurgitation on Physical Exam

Patient referred for palpitations and
Carotids - Corrigan's Pulse ... in severe Aortic ... Regurgitation on ... pressure > 80 mmHg ... clinical #video #neck
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Causes of Wide Pulse ... Pressure - Differential ... regurgitation ... - aortic sclerosis ... #Pressure #Differential
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... pressure, pallor ... uw_IMresidency #Shock ... #Differential # ... table #comparison #criticalcare
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Here’s a OnePager summarizing my approach
Demystified Shock ... my approach to pressors ... Nick Mark MD @nickmmark ... Vasopressors #Basics #CriticalCare ... #Management #Pharmacology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Examine for: • Pulse ... deficit/differential ... deficit • Shock ... Control blood pressure ... Dissection #diagnosis #management
Arterial Lines & Waveforms
Arterial lines permit continuous invasive blood pressure measurement, frequent arterial blood sampling, and
invasive blood pressure ... cardiac output shock ... (PPV) Pressure ... - Nick Mark ... #calibration #criticalcare
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
increasing diastolic pressure ... Triggers (EKG, Pressure ... Weaning by Nick ... Pump #diagnosis #management ... #cardiology #criticalcare