19 results
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
RV Strain in Pulmonary ... your next step in management ... massive embolus-->LV inability ... to pump-->hypotension ... #RVStrain #Pulmonary
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 • Record estimated PASP
 • Evaluate RV size
Evaluation of Pulmonary ... Hypertension ... • Evaluate for signs ... shunt lesions) • Differentiate ... #echocardiogram
Causes of Bradykinetic Movement Disorders - Differential Diagnosis Algorithm
Parkinson's Disease (TRAP):
• Resting Tremor
• Cogwheel Rigidity
• Akinesia/Bradykinesia
•
Movement Disorders - Differential ... Bradykinesia • Postural Instability ... • Cerebellar signs ... • Postural Hypotension ... MovementDisorders #Neurology #Differential
Management of Serotonin Syndrome
Identify and stop all serotoninergic medications
 • Avoid inadvertent Rx of serotoninergic meds
Management of Serotonin ... normalize vital signs ... illness with VS instability ... Pressor support for hypotension ... Serotonin #Syndrome #Management
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Differential/diagnosis ... RV, McConnell's sign ... A4c #clinical #cardiology ... #McConnells #sign
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Bradycardia - Differential ... Framework and Management ... Depending on degree of instability ... #Bradycardia #Differential ... #Diagnosis #Management
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Heat Stroke - Differential ... tone → Postural hypotension ... → Syncope • Signs ... Exhaustion: • Inability ... Irritability, Emotional instability
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Exacerbation Signs ... muscle use • Inability ... #CriticalCare #pulmonary ... ventilation #mechanical #management
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Presence of pulmonary ... Transthoracic echocardiogram ... RVSP) - Estimates pulmonary ... m/s • Other signs ... #diagnosis #management
Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
Hypertension ... Signs of Tamponade ... hypertension! ... Clinical #POCUS #Cardiology ... #Echocardiogram