23 results
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Type A Dissection ... Non-ischemic EKG ... dissection with ... #Aortic #Aorta ... PLAX #Clinical #Ultrasound
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
TypeA Aortic Dissection ... EKG: afib, twi I ... for this Type A Dissection ... #Dissection #Aorta ... Echocardiogram #Clinical #Ultrasound
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic Dissection ... Pearls Aortic dissection ... tissue disorder e.g ... Pulse deficit/differential ... blood pressure: e.g
Echocardiogram Windows - Nomenclature
Each view is described using three (3) components
1) Transducer Position or "Window"
: Suprasternal Notch ... Imaging Plane, e.g ... Structures Visualized, e.g ... Mitral valve (MV), Aortic ... Nomenclature #POCUS #cardiology
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Sign - Type A Aortic ... Dissection on POCUS ... Echocardiogram STEMI on EKG ... - VCU Ultrasound ... Echocardiogram #cardiology
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
X-ray - Lung ultrasound ... Nasopharyngeal PCR ... - CBC with differential ... clinically indicated (e.g ... echocardiogram, EKG
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
infarction • Aortic ... dissection • ... Initial workup: • EKG ... • Bedside ultrasound
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... Beside ultrasound ... widening of the aortic ... dissection.- Michael ... #Clinical #EM #Radiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... : Acute STEMI, Aortic ... dissection, PE, ... #Ischemia #ECG ... #EKG #diagnosis
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... • Malignancy (e.g ... infarction • Aortic ... dissection - proximal ... #Diagnosis #cardiology