10 results
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... Artery #Embolism #diagnosis ... scoring #criteria #cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
and left atria, ... atrial thrombus ... cardioversion 2. ... Fibrillation #AFib #diagnosis ... #management #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... or PFO with left ... to right shunt 2. ... #cardiology #clinical ... echocardiogram #s4c #pocus
BENNETT FRACTURE 
Bennett fracture is an intraarticular two-part fracture of the ulnar side of the base
• Mechanism: Axial ... next 2-3 days as ... MH/CCF/CWRU EM ... Thumb #Metacarpal #Radiology ... #XRay #Diagnosis
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
as a result of arterial ... orthopedics in 2 ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #XRay #Diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... ↑ Suspicion -> TEE ... • Left sided > Right ... #management #cardiology
Purpose: We sought to develop a patient decision aid to promote shared decision-making for patients who
have no serious diagnosis ... Explanation of syncope, 2) ... frequency (e.g. 2 ... #Management #PatientInfo ... #Cardiology #EM
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
other causes* 2. ... Differential Diagnosis ... LVEDd > 6.0 cm, LV thrombus ... Serial TTE and close ... #management #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
as RAP>LAP as atrial ... septum shifts left ... stretched PFO or ASD ... Echocardiogram #clinical #pocus ... intrapulmonary #cardiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... on the upper left ... Several of the diagnoses ... /50 Rule (part 2)