POINT OF CARE ULTRASOUND AT WESTERN UNIVERSITY · LONDON, ONTARIO, CANADA

Monthly Archives: January 2020

//January

Case of the Week: January 29, 2020

This is 65 yo M who presented with acute hypotension, hypoxia, and worsening AKI in the setting of known severe pulmonary hypertension secondary to a previous PE (CTEPH). He was admitted to the ICU for consideration of CRRT and IV flolan. A few days into his admission, the team asked for a POCUS cardiac assessment to reassess the status of his RV. Have a look the images below. Specifically, what do you think about the tricuspid regurgitation and estimated RVSP?

By | 2020-01-31T17:17:29+00:00 January 31st, 2020|Case of the Week, Cases|0 Comments

Case of the Week: January 22, 2020

This is a 74yo F with a past medical history significant for ESRD and severe PVD who was transferred to the ICU overnight with presumed septic shock thought to be related to left foot osteomyelitis. She had presented to the ED with refractory hypotension and altered LOC necessitating intubation and high dose vasopressors. The POCUS team went to do a focused cardiac exam, primarily to see if there was a cardiogenic component to his shock. The following TTE images were taken and the decision was made to perform a point-of-care TEE. What do you think is going on?

By | 2020-01-23T01:08:19+00:00 January 23rd, 2020|Case of the Week, Cases|Comments Off on Case of the Week: January 22, 2020