13 results
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Diagnosis by Classification ... contractility) - Acute MI ... flow) - Massive pulmonary ... embolism - Pericardial ... tamponade - Tension
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Pericardial Tamponade ... in a Shock Patient ... good enough at diagnosing ... @EM_RESUS #Clinical ... #POCUS #Echocardiogram
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Cardiogenic: Acute MI ... • Obstructive: Pericardial ... tamponade, Pulmonary ... #inopressors #diagnosis
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... pericarditis, Pericardial ... Tamponade ... - Pulmonary >> Acute ... - MI, arrhythmia
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... Pneumothorax, Cardiac Tamponade ... , Pulmonary Embolism ... Obstruction (HOCM, critical ... #diagnosis #differential
Left Ventricular Hydatid Cyst on Cardiac MRI 

Illustrative Cardiac MRI image showing a large hydatid cyst
Cyst on Cardiac MRI ... Pulmonary embolism ... , anaphylactic shock ... Hydatid #Cyst #LV #CardiacMRI ... #clinical #cardiology
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS ... can be seen in tamponade ... Had diagnostic tap-fever ... Echocardiogram #clinical ... #cardiology #A3C
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
mortality in inferior MI ... or hypovolemic shock ... Increases in RAP or pericardial ... artery #catheter #diagnosis ... #cardiology #swanganz
Untreated VSD on POCUS Echocardiogram

Crazy POCUS of an untreated VSD with with pulmonary hypertension, Eisenmenger syndrome,
VSD with with pulmonary ... syndrome, and pericardial ... profound that tamponade ... SeptalDefect #Untreated #Cardiology ... #Clinical #PLAX