13 results
Type A Aortic Dissection with Hemopericardium

This patient presents with chest pain. Which is the best next
Type A Aortic Dissection ... Which is the best ... this patient's type ... #PLAX #Echocardiogram ... #POCUS #Clinical
Syphilis - Diagnosis and Management - Primary vs Secondary vs Tertiary
Primary Syphilis
 • Localized lymphadenopathy
 •
Diagnosis and Management ... - Primary vs Secondary ... vs Tertiary Primary ... Negative treponemal tests ... Tabes dorsalis • Aortic
Post Myocardial Infarction VSD on POCUS Echocardiogram

Older female with hx of severe GERD. Worsening over 8
Post Myocardial Infarction ... VSD on POCUS Echocardiogram ... RJonesSonoEM #PostMI #VSD ... SeptalRupture #pocus ... #plax
Post Myocardial Infarction VSD on POCUS Echocardiogram (Color Doppler)

Older female with hx of severe GERD. Worsening
Post Myocardial Infarction ... VSD on POCUS Echocardiogram ... RJonesSonoEM #PostMI #VSD ... SeptalRupture #pocus ... #plax #color #doppler
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... diagnosis = vasculitis vs ... infection vs malignancy ... the “Chewing gum test ... Symptoms #Diagnosis #Management
Debridement and Management of Prosthetic Joint Infection (PJI)
Duration of symptoms <3 weeks OR  <30 days
Debridement and Management ... Prosthetic Joint Infection ... change of surgical plan ... benefit of 12wk vs ... #Debridement #Management
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
coagulopathy Pregnancy test ... possible ectopic vs ... increased risk of infection ... Uterine #Bleeding #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Skin exam for infection ... determine if stress test ... - Cataract Plan ... What is the type ... medical and surgical management
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
Hypokinesis on POCUS ... VSS. ... choice for management ... management for ... clinical #cardiology #PSAX
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... that may lead to infarction ... Criteria • ↑ ESR ... block, annular or aortic ... Endocarditis #diagnosis #management