(1/X) Challenging case of LVOT obstruction. Post IR procedure for intrabdominal bleeding. Rapidly rising vasopressor requirements (yet no drain blood from drain). Initial POCUS shows:
I used to teach that IVC measurements could tell you about fluid responsiveness, then it was fluid tolerance, and now I 'm just like "it helps you estimate right atrial pressure... usually... do with that what you will" :P
PSA: this is why we ALWAS scan with colour doppler (or CPD, in this case) to look for vessels prior to thoracentesis.
Indicator is toward patient's head, so the vessel is running on the superior aspect of the rib --> right where you'd normally poke
#POCUS#MedEd
Are you team curvilinear or phased array for #lungultrasound?
We asked 166 internists/trainees to interpret common lung pathologies from each probe and found:
In this case report, we use carotid Doppler to non-invasively quantify the hemodynamics of a pericardial effusion pre-post pericardiocentesis. This may be an alternative option in patients with limited TTE windows @heart_lung@MichaelTPratte@ThinkingCCshorturl.at/lrHJQ
70sM brought to hosptial for confusion but predominant with fall and difficulty walking. No other collateral or anything on records. His mind is actually quite good. A little slowed but not delirious. Magnetic gait — not the worse — but the feet are not lifting off. 1/4
I’m thrilled to announce that @VicReedman was awarded the 2023 Social Responsibility Award in Postgrad Med Ed. She is a fierce advocate for patients, especially those often overlooked by our system. I am so proud of her and grateful to @UofT_DoM for recognizing her contributions.
Young ♀️ w CKD on HD, seen in Cardiorenal clinic
Pt had torrential tricuspid regurgitation due to CVC induced leaflet perforation ➡️ She underwent tricuspid valve replacement surgery 🫀🔪
However, 1 month after discharge she is still using a wheelchair 🤔
1/12🧵
Young ♀️ w CKD on HD, seen in Cardiorenal clinic
Pt had torrential tricuspid regurgitation due to CVC induced leaflet perforation ➡️ She underwent tricuspid valve replacement surgery 🫀🔪
However, 1 month after discharge she is still using a wheelchair 🤔
1/12🧵