66 results
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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Kussmaul's Sign ... with + Kussmaul sign ... time there is inability ... #physicalexam #clinical ... jvp #cardiology #neck
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Full Set of Vital Signs ... Setup - Ultrasound ... Reversibles 3) Stabilize ... - Distended neck ... #Summary #criticalcare
Corrigan's Pulse seen on Carotid / Jugular Ultrasound

You’re preparing to put in an IJ central line
Carotid / Jugular Ultrasound ... see this on your ultrasound ... Carotid #POCUS #Clinical ... #Ultrasound #Neck ... #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 ... #cardiology #criticalcare
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
Exacerbation Signs ... muscle use • Inability ... #Exacerbation #CriticalCare ... ventilation #mechanical #management
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
X-ray and lung ultrasound ... Phos), CBC with differential ... fastest approach to stabilize ... monitoring (vital signs ... #CriticalCare
Approach to Hemorrhagic Shock
PLAN FOR CONTROLLING HEMORRHAGE & ACTIVATE MASSIVE TRANSFUSION PROTOCOL
 • Activate massive transfusion
Use hemodynamic stability ... OnePager on TEG) Nick ... Hemorrhagic #Shock #Management ... #Summary #CriticalCare
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
on scores and clinical ... infographic by Nick ... prognostication #diagnosis #management ... stratification #criticalcare
Airway Intubation Confirmation on POCUS
Linear probe is placed on anterior neck at the level of the
placed on anterior neck ... “double tract sign ... Confirmation #POCUS #clinical ... #ultrasound
Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
Characteristic clinical ... anomalies • Short neck ... atlanto-axial instability ... PhysicalExam #Features #Signs