67 results
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 ... Activate cath lab ... Pulmonary embolism
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
myocardial infarction: ST ... anterior descending (LAD ... • Multilead ST ... elevation: Differential ... diagnosis #ekg #differential
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
0.5mm downgoing ST ... line; upsloping ST ... have no pain - LAD ... avR - proximal LAD ... Interpretation #differential
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Differential Diagnosis ... for ST Segment ... ACUTE STEMI - PULMONARY ... STElevation #STEMI #Differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... ventricle pacing lead ... QRS complex Pulmonary ... Segment #Elevation #differential
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
imitator" • ↓ K - ST ... long QT via long ST ... HOCM- dagger Q lat ... inf leads, LVH, LAE ... electrocardiogram #differential
ABCs of Lung Ultrasound - A-Lines, B-Lines, Consolidation
A-Profile - Air filled lung does not transmit sound
Filled alveoli lead ... will be seen IM POCUS ... Profiles #Ultrasound #POCUS ... #Differential # ... Diagnosis #pulmonary
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Dyspnea - Differential ... Heart failure - CAD ... - Tamponade Pulmonary ... #dyspnea #sob #differential ... diagnosis #causes #pulmonary
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Pneumonia on Lung POCUS ... POCUS lung exam ... Differential Bilat ... /lung sliding: Pulmonary ... This patient had
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
Massive Hemoptysis - Differential ... over 24 hours Differential ... Primary Vascular: Pulmonary ... Intubation 2) Bad ... Diagnosis #Management #pulmonary