11 results
Aortic Dissection - Descending Aorta with Hemothorax on POCUS

45 yo F, 6 hours of chest pain.
Aortic Dissection ... BP 150/90, HR 75x ... Always, #POCUS ... #Dissection #Descending ... #Aorta #Flap #Long
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
Malignancy: Primary lung ... Goodpasture's, SLE Cardiac ... regurgitation, Tricuspid endocarditis ... AVM, Thoracic aortic ... Postprocedural, Lung
This is a parasternal long axis view of a young patient presenting with 3 days of
a parasternal long ... in parasternal long ... dissection.- Michael ... EM #Radiology #POCUS ... #CardiacUS #ParsternalLong
Aortic Dissection
This is the abdominal aorta in long axis. The bright line you see running through
Aortic Dissection ... in long axis. ... wondered why we keep BP ... #Clinical #POCUS ... #Aortic #Dissection
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... Secondary to invasive cardiac ... metastatic spread: lung ... infarction • Aortic ... dissection - proximal
This is a parasternal long axis view demonstrating significant enlargement of the aortic root with an
a parasternal long ... enlargement of the aortic ... an identified dissection ... Director #Clinical #POCUS ... #Cardiac #Echocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... CA • Involves aortic ... : • New cardiac ... Marantic (NTBE) Differential ... block, annular or aortic
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
Breast Leukemia Lung ... injury (e.g., cardiac ... Radiation Aortic ... dissection (with ... #Pericarditis #Differential
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... , verrucous) - Lung ... Ovarian CA, involves aortic ... block, annular or aortic ... #Differential #
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
stairs, brisk 4 mph ... exam Determine Cardiac ... risk (>5%): - Aortic ... Severe Aortic stenosis ... unless prior heart/lung