We have a new post from our CCM POCUS Fellow, Mark Andreae, MD! We have a different type of teaching point for this case, so be sure to share your thoughts and see the results.
Here is the case stem:
50’s patient with history of ischemic cardiomyopathy POD3 s/p 4 vessel CABG. Condition C called for hypotension. BP 77/49, HR 89. Has felt constitutionally unwell throughout the day. He is pale and cool on exam. You place an arterial line - MAP 55-65 with large pulse pressure variation. You obtain these view on point of care ultrasound.
• What are the structures labeled in the 1st image? (A, B, C, D)
• What is your next step in management?
We will post the results in 1 week, so comment on your thoughts!