13 results
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... Pearls Aortic dissection ... • Cardiac surgery ... deficit • Shock ... #management #vascular
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
dissection • ... Aortic aneurysm ... pressure >10mmHg: • Cardiac ... • Hypovolemic shock ... Abnormalities #Disorders #Cardiology
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Mechanical → severe aortic ... valvular rupture, dissection ... of ascending aorta ... pneumothorax, cardiac ... Types #diagnosis #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Mechanical → severe aortic ... valvular rupture, dissection ... of ascending aorta ... pneumothorax, cardiac ... types #diagnosis #management
This is a parasternal long axis view of a young patient presenting with 3 days of
Beside ultrasound ... widening of the aortic ... dissection.- Michael ... #Clinical #EM #Radiology ... #POCUS #CardiacUS
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
visualization with use of ultrasound ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management ... #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... : • New cardiac ... block, annular or aortic ... #diagnosis #management ... #cardiology
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
blocking agent • Shock ... Bradycardia Cardiac ... Tachy-Brady syndrome • Aortic ... Valve Endocarditis ... syndrome • Post cardiac
Ruptured Abdominal Aortic Aneurysm (AAA) on POCUS

Here's the abdominal ultrasound of a man who was in
the abdominal ultrasound ... man who was in shock ... after cardiac arrest ... appears to mimic dissection ... POCUS #Clinical #Ultrasound
Causes of Ischemic Stroke - Differential Diagnosis Algorithm
Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia
 - Large
Atherosclerosis, Arterial Dissection ... - Ascending Aorta ... • Bacterial endocarditis ... Failure • Cardiac ... effusion • Shock