Episode 164: Spaced Learning Series – Abdominal pain and hypotension
The Clinical Problem Solvers
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The Role of Ultrasonography in the Diagnosis of Lactic Acid Shock
A 58-year-old woman was found to be in cardiogenic shock with a large pericardial effusion. She had an EKG that showed sinus tachycardia, otherwise normal. Her troponin was slightly elevated at around 0.6. A bedside ultrasound showed a plump minimally collapsing IVC and a very large pericardsion.
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