Hocus POCUS
Ventilators
Too many acronyms
Don't shock me
These ORGANISMS have nerve
100
60yo male with vague abdominal pain x4mos
What is AAA
100
Tidal volume setting in ARDS
what is 4-6mL/kg of ideal body wt.
100
HRCT showing basal-predominant fibrosis with traction bronchiectasis and honeycombing, but no marked inflammation, is most consistent with this pattern.
What is UIP?
100
This type of shock is characterized by low cardiac output and high SVR.
What is cardiogenic shock?
100
A patient with HIV and CD4 <200 presents with bilateral ground-glass opacities. This pathogen must be ruled out.
A patient with HIV and CD4 <200 presents with bilateral ground-glass opacities. This pathogen must be ruled out.
200
What is shown here?
What is collapsing IVC
200
The ventilator shows double triggering with two stacked breaths. This usually indicates that this set parameter is too low.
What is tidal volume, will also accept inspiratory time.
200
A strong smoking-related ILD characterized by pigmented macrophages and centrilobular nodules, often in young adults.
What is respiratory bronchiolitis-associated ILD (RB-ILD)?
200
This measurement, obtained from a pulmonary artery catheter, reflects LV preload and helps differentiate cardiogenic vs distributive shock.
What is pulmonary capillary wedge pressure (PCWP)?
200
Patients with prolonged neutropenia are at high risk for pulmonary infections with this filamentous fungus known for “halo signs” on CT.
What is Aspergillus?
300
What is this pathology?
What is a large pericardial effusion with tamponade?
300
What does the green ventilator waveform indicate? 
What is Autopeep
300
This ILD presents with erythema nodosum, uveitis, arthralgias, and bilateral hilar adenopathy.
What is Lofgren syndrome (acute sarcoidosis)?
300
A low CVP, low wedge, and high cardiac output suggests this diagnosis.
What is septic shock?
300
his fungal disease, endemic to the Southwest US, can cause diffuse pulmonary nodules, meningitis, and severe disease in patients with impaired cell-mediated immunity.
What is Coccidioidomycosis?
400
Describe what each arrow is pointing to.
White arrowhead: pericardial effusion
Black arrowhead: descending aorta
White arrow: pleural effusion
400
Name 2 conditions that could cause high peak pressures with a normal or low plateau pressure.
What is bronchoconstriction, tube kinking or plugging, or patient biting ETT?
400
This occupational ILD shows upper-lobe predominant nodules and "eggshell" calcification of the lymph nodes.
What is silicosis?
400
Diastolic collapse of this chamber is suggestive of tamponade?
Right ventricle
400
What is this fungus?
What is mucormysosi?
Non-septate branching at 90 degree angles
500
The finding in this CCU patient with a new murmur on post STEMI day 3.
What is ventricular wall rupture.
500
A sudden drop in tidal volume on pressure-control mode suggest this problem.
What is an air leak?
500
This connective tissue disorder causes cysts, spontaneous pneumothorax, and characteristic skin lesions called fibrofolliculomas.
What is Birt-Hogg-Dube syndrome?
500
A patient with acute RV failure may benefit from increasing this ventilator parameter down, not up.
What is PEEP?
500
A patient with HIV and CD4 <100 has headache, fever, and pulmonary infiltrates. Serum cryptococcal antigen is positive.What diagnostic test should you perform next?
What is lumbar puncture?
To assess for cryptococcal meningitis