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
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 ... Dissection #diagnosis #management
Aortic Dissection - Diagnosis and Acute Management
Pain: Chest, Back, Abdo, Migrating, Above & below diaphragm, Abrupt
Aortic Dissection ... Pain: Chest, Back ... High or low BP, Pulse ... Surgeon. 1) Control Pain ... #treatment #aorta
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
and Management ... Algorithm STEMI: ... /V/diaphoresis Aortic ... PEX: New murmur, Pulse ... #Algorithm #differential
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Diagnosis and Management ... Bleeding, abdominal pain ... • Should be on differential ... de novo between aorta ... or within the aorta
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 ... < 30 years - Aorta ... branches • GCA: - Aorta ... diminished, or tender pulses ... , testes -> pain
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Petechial Rash - Differential ... Diagnosis Algorithm ... lesions • Severe pain ... • Abdominal ultrasound ... #dermatology #physicalexam
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... diminished, or tender pulses ... < 30 years • Aorta ... claudication, pulse ... Arteritis): • Aorta
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
pressure and cranial ultrasound ... The femoral pulses ... Their pulse pressure ... coarctation of the aorta ... Newborn #Infant #PhysicalExam