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Ruptured Abdominal Aortic Aneurysm (AAA) on POCUS

Dr. Bob Stenberg @POCUSaurusRex

#Ruptured #Abdominal #Aortic #Aneurysm #AAA #POCUS #aorta
Ruptured Abdominal Aortic ... Aneurysm (AAA) ... on POCUS Dr. ... #Aneurysm #AAA ... #POCUS #aorta #clinical
AAA Endoleak on POCUS

80 y/o w severe abdominal pain, one year after endoprosthesis stent of an
AAA Endoleak on POCUS ... of an abdominal aortic ... aneurysm. ... endoleak to the aneurysmal ... AAA #clinical #aorta
Relevant Sonopathology of the Parasternal Long Axis (PLAX) - Point of Care Ultrasound
 - Right Ventricular
Dilatation - Aortic ... Dissection - Aortic ... Heart Failure - Aortic ... Aneurysm - Papillary ... #Diagnosis #POCUS
Back Pain - Differential Diagnosis
Primary Back Pathology:
 • Musculoligamentous injury (a.k.a. lumbosacral strain)
 • Spondylosis (i.e.
common: lung, breast ... common: lung, breast ... Referred Pain: • Aorta ... : Dissection, Aneurysm
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Atherosclerosis) • Aortic ... dissection • Aortic ... aneurysmAortic ... with alternate beats ... Cardiomyopathy Aortic
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 • PUMP: LV contractility, RV strain, tamponade
 • TANK: IVC
compromise • PIPE: Aortic ... dissection, aneurysms ... E-FAST • A - Aorta ... diagnosis #Ultrasound #pocus
Hypertrophic Obstructive Cardiomyopathy: Heart Murmur
 • Occurs during systole 
 • Crescendo-decrescendo murmur
 • Heard best
murmur • Heard best ... • Radiates aortic ... /mitral areas
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
• Vascular: Aortic ... dissection, Aortic ... anourysm, Enlarged ... Venous or arterial great
Aortic and Mitral Valve Vegetations in Endocarditis on POCUS - PLAX

Why would this 30 y/o male
Aortic and Mitral ... Endocarditis on POCUS ... have shortness of breath ... @eabramsMD #Aortic ... #Endocarditis #POCUS
Rupturing AAA on Point of Care Ultrasound (POCUS)

"Elderly patient presents with AMS and Hypotension RUSH exam
Care Ultrasound (POCUS ... FAST negative, Aorta ... AAA #Ruptured #Aneurysm ... #Aorta #Aortic ... Transverse #Color #POCUS