13 results
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
Apical 4 Chamber (A4C ... ) Pt with systemic ... Pt has biventricular ... Has new large pericardial ... #Cardiac #POCUS
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
) Pt with systemic ... Pt has biventricular ... Has new large pericardial ... with cardiac involvement ... #Cardiac #POCUS
The coagulation cascade is shown, separated into different phases with their endogenous and pharmacological inhibitors shown.
The coagulation ... Thrombin, then primes ... and endothelial cells ... #Coagulation #Cascade ... #clot #PT #PTT
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
Congenital intrinsic coagulation ... drugs e.g. direct thrombin ... intravascular coagulation ... with systemic amyloidosis ... differential #hematology #coagulation
Amyloidosis on POCUS Echocardiogram - Parasternal short axis (PSAX)
Pt with systemic AL amyloidosis presents with 1
short axis (PSAX) Pt ... Pt has biventricular ... Has new large pericardial ... with cardiac involvement ... #Cardiac #POCUS
Amyloidosis on POCUS Echocardiogram - Parasternal long axis (PLAX)
Pt with systemic AL amyloidosis presents with 1
long axis (PLAX) Pt ... Pt has biventricular ... Has new large pericardial ... with cardiac involvement ... #Cardiac #POCUS
Differential Diagnosis for a Prolonged PT and aPTT
If the PT and the aPTT are both prolonged,
for a Prolonged PT ... and aPTT If the PT ... drugs (e.g. direct thrombin ... with systemic amyloidosis ... differential #hematology #coagulation
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Intravascular Coagulation ... • Prolonged PT ... • Increased thrombin ... Fibrinogen: ↓ • PT ... Schistocytes, helmet cells
Bleeding and Bruising - Disorders of Hemostasis - Differential Diagnosis Framework

== Quantitative or Qualitative defect in
inhibitor of a coagulation ... intravascular coagulation ... warfarin, direct thrombin ... or factor X • Amyloidosis-associated ... Vasculitis • Amyloidosis
Hemorrhagic Pericardial Effusion with Tamponade on POCUS

In an unstable pt w/ chest trauma, subxiphoid view FIRST!

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Hemorrhagic Pericardial ... In an unstable pt ... #Hemorrhagic #Pericardial ... Effusion #Tamponade #Cardiac ... cardiology #clinical #s4c