11 results
Type A Aortic Dissection with Aortic Regurg Jet on POCUS

Sudden onset chest pain. Disturbingly normal vitals.
Sudden onset chest pain ... No pulse in LLE. ... VCU Ultrasound @ ... #Dissection #Aorta ... POCUS #Clinical #Ultrasound
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Pulse Abnormalities ... - Differential ... Diagnosis Algorithm ... #Abnormalities ... #Diagnosis #Algorithm
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
the wall of the aorta ... chest/abd/back pain ... Examine for: • Pulse ... deficit/differential ... BP: • Control pain
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
Back Pain - Differential ... herniation • Anatomic abnormalities ... Inflammatory back pain ... : • Aorta: Dissection ... #Differential #
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
and Management Algorithm ... /V/diaphoresis Aortic ... PEX: New murmur, Pulse ... Diagnosis #Management #Algorithm ... #differential
Mediastinal Mass - Differential Diagnosis Framework

Anterior Mediastinal Mass - 5T’s
 • Thymic neoplasm
 • Teratoma (or
Mediastinal Mass - Differential ... Lymphoma • Thoracic aorta ... aneurysm and aortic ... breath • Chest pain ... Mediastinal #Mass #Differential
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Diagnosis Algorithm ... Etiology: • Abnormalities ... lesions • Severe pain ... • Abdominal ultrasound ... #dermatology #physicalexam
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Limb ischemia • Aortic ... refill - Poor pulses ... #differential # ... extremity #msk #physicalexam
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Vasculitides - Differential ... pulmonary and renal abnormalities ... < 30 years - Aorta ... branches • GCA: - Aorta ... diminished, or tender pulses
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
pulmonary and renal abnormalities ... diminished, or tender pulses ... < 30 years • Aorta ... claudication, pulse ... Arteritis): • Aorta