11 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... EKG • Bedside ultrasound ... • CXR • CBC ... #Pain #Diagnosis
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
POCUS Pulmonary ... - What’s the diagnosis ... can move back & ... #clinical #video ... #POCUS #pulmonary
Assessment of Chest Tube Drains
Stepwise assessment of Chest Tube Function
TUBE POSITIONING
 • Look at the CXR:
• Look at the CXR ... since a prior CXR ... Check the DRAINAGE area ... ChestTube #Drains #Diagnosis ... #Assessment #Pulmonary
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Pulmonary Artery ... Point of Care Ultrasound ... blood flow in the chest ... Tolerance #testing #diagnosis ... #criticalcare #
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... pain/tightness ... presence of air-fluid ... parenchyma Diagnosis ... high-resolution chest
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
) - Diagnosis and ... pain (LR + NS) ... requiring aggressive fluid ... Uremia (blood urea ... #treatment #Pulmonary
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... with presence of pulmonary ... needing a little fluid ... #algorithm #management ... heartfailure #chf #criticalcare
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
presents with abd pain ... care center for diagnostic ... as well as an area ... of hyperechoic fluid ... Point of Care Ultrasound
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT chest ... abdomen if abdominal pain ... - Occurs after CAR-T ... speech changes (CAR-T ... renal failure, pulmonary
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
at the site of pain ... US beats CXR on ... beyond a clinical diagnosis ... course based on chest ... #clinical #ultrasound