8 results
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
stretched PFO or ASD ... PVeins (extra-cardiac ... DavidWienerMD #DoubleShunt ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... possibly renal ... failure Clinical ... e.g. incidental CXR ... neuropathy or cardiac
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... ankle swelling. 2. ... → no signs of CXR ... congestion. 2. ... Consider cardiac
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... Change in clinical ... one post op Cardiology ... postoperative cardiac ... stratification #diagnosis
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Echocardiogram (1) ... (2) Lvef 25-30% ... (4) All 4 cardiac ... (5) Layered clot ... #cardiology #a4c
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
1. ... Small secundum ASD ... to right shunt 2. ... #cardiology #clinical ... echocardiogram #s4c
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
interventional radiology ... immediate treatment 1. ... 200–300 mL/h) 2. ... , hypotension, renal ... Oncology #HemeOnc #Diagnosis
Peripelvic Cyst on Renal POCUS
60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
stone WBC 12.5 Cr ... LFTs normal Diagnosed ... bedside assessment 2) ... POCUS, with clinical ... #ultrasound