13 results
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... • Provoked (e.g ... CBC, aPTT, +/- CXR ... #hematology #diagnosis
Amyloidosis on POCUS Echocardiogram - Parasternal long axis (PLAX)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS Echocardiogram ... Parasternal long axis (PLAX ... appearance of heart on CXR ... #Amyloidosis #Cardiac ... #Cardiology #PLAX
Amyloidosis on POCUS Echocardiogram - Parasternal short axis (PSAX)
Pt with systemic AL amyloidosis presents with 1
Amyloidosis on POCUS Echocardiogram ... appearance of heart on CXR ... amyloidosis with cardiac ... #Amyloidosis #Cardiac ... #Cardiology #PSAX
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
(PLAX) 57yo M with ... Normal work up including ... negative ECG, CXR ... #clinical #cardiology ... #PLAX
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
indicated, start CPR ... examination and vital signs ... tamponade recurs. ❿ Plan ... specialist referral. ⓫ Plan ... #Management #Workup
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... have fever - ACS ... WBC >100k, + lab signs ... acid, Elevated Cr ... Syndrome #TLS #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
diffuse STE, diffuse PR ... Equivalents / Don't Miss Signs ... asymmetrical, similar or bigger ... wave inversion in avL ... #EKG #diagnosis
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
of more of the signs ... pack. ❸ Remove all ... arrest, start CPR ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
in Anaesthesia Signs ... problem. ❸ Call for cardiac ... Start continuous CPR ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... of CXR congestion ... Consider cardiac ... Pharmacology: • ACE ... #heartfailure #diagnosis