11 results
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Type A Dissection ... on POCUS (PLAX ... Non-ischemic EKG ... What's the Diagnosis ... #Aorta #Echocardiogram
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
into the thoracic aorta ... sync with the cardiac ... • Triggers (EKG ... Balloon #Pump #diagnosis ... #management #cardiology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
the wall of the aorta ... tissue disorder e.g ... disease • Cardiac ... blood pressure: e.g ... #management #vascular
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... widening of the aortic ... #Clinical #EM #Radiology ... #POCUS #CardiacUS ... ParsternalLong #AorticDissection
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... 85% of predicted value ... : EKG ($), ECHO ... Stress #Testing #cardiology ... #management #diagnosis
This is a suprasternal notch view demonstrating an aortic flap in a patient with a Stanford
with a Stanford Type ... for a more rapid diagnosis ... #CardiacUS #SuprasternalNotch ... #AorticFlap #Aorta ... #TypeB #AorticDissection
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... to bolus these values ... perfusion - Cardiac ... failure - Low cardiac
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... not be subtle e.g ... or sed rate): Value ... E.g. 80 yo ESR cutoff ... #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... : • New cardiac ... ↑ ESR, CRP • EKG ... block, annular or aortic ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... What is the type ... medical and surgical management ... stratification #diagnosis