9 results
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
sinus rhythm... 1. ... aneurysm idiopathic. 2. ... Long chronic severe ... ASD with R/L shunting ... #clinical #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Differential Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... Differential #Diagnosis #cardiology ... #clinical #echocardiogram
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... possibly renal ... failure Clinical ... Pulmonary: dyspnea ... Diagnosis #Management #Signs
VSD on Newborn POCUS Echocardiogram (A4C)
Term newborn presents with irritability and increased work of breathing. Bedside
resolution: Patient had signs ... copious B lines on lung ... echo showed 2 VSDs ... University of Michigan Ultrasound ... #cardiology #a4c
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... Change in clinical ... days before Pulmonary ... one post op Cardiology ... unless prior heart/lung
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
pulmonary hypertension ... >LAP as atrial septum ... stretched PFO or ASD ... Echocardiogram #clinical ... #cardiology #saline
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
absence of intrinsic lung ... diffusion-perfusion defect (Type 1) ... anatomic shunt (Type 2) ... Clinical Presentation ... cycles after right atrial
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Echocardiogram (1) ... (2) Lvef 25-30% ... (5) Layered clot ... (7) patient in atrial ... #cardiology #a4c
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... clinical judgement ... /50 Rule (part 1) ... second ribs.1 ... #Lung #Pulmonary