35 results
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
- Differential Diagnosis ... • Aortic Dissection ... - Chest Wall/Pleura ... • Pneumothorax ... • Pleural
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Associated Lung Ultrasound ... Findings Pneumothorax ... A-lines (parietal pleura ... #differential #diagnosis ... #Lung #POCUS #ultrasound
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Type A Dissection ... What's the Diagnosis ... DavidPigottMD #TypeA ... Echocardiogram #PLAX #Clinical ... #Ultrasound #POCUS
False Positive Lung Point on POCUS
Lung-Cardiac Point and Lung-Diaphragm Point
These images highlight selected differentials to pleural
" a finding in pneumothorax-related ... LungPoint #POCUS #clinical ... lungdiaphragam #ultrasound ... #pulmonary #differential ... #diagnosis #mimics
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Differential Diagnosis ... Vascular: - Aortic dissection ... - Tamponade Pulmonary ... Pneumonia • Pleura ... - Effusion - Pneumothorax
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... valvular rupture, dissection ... embolism or severe pulmonary ... filling) → tension pneumothorax ... #types #diagnosis
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 • Smooth pleural line
 • AIS >
Lung Ultrasound: ... Edema: • Smooth pleural ... line + sub-pleural ... edema #comparison #clinical ... #diagnosis #ultrasound
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... infarction • Aortic dissection ... • Pneumothorax ... • Pulmonary embolism ... EKG • Bedside ultrasound
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... and Differential Diagnosis ... , CVP > 12 • Pulmonary ... Embolism, Tension Pneumothorax ... #Types #criticalcare
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... • Most common type ... valvular rupture, dissection ... filling) → tension pneumothorax ... #Types #diagnosis