9 results
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Diagnosis 1. ... or PFO with left ... to right shunt 2. ... #clinical #echocardiogram ... #s4c #pocus #bubble
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 ... Embolism #diagnosis #differential ... 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
Decompensated HF ... wide-complex tachycardia: bundle ... Cardioversion 1. ... cardioversion 2. ... diagnosis #management #cardiology
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
sinus rhythm... 1. ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #clinical #cardiology ... #pocus
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... as RAP>LAP as atrial ... septum shifts left ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Enlargement of the hili is usually due to lymphadenopathy or enlarged vessels.
In this case there is
is known as the 1- ... 2-3 sign in sarcoidosis ... enlargement of left ... #Clinical #Radiology ... #CXR #Garland #
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Cardiomyopathy - Summary 1. ... other causes* 2. ... Differential Diagnosis ... May have typical HF ... months before 1°
Artery-to-bronchus ratio 
Normally the vessels in the upper lobes are smaller than the accompanying bronchus with
On the left a patient ... > 3 mm (normal 1- ... 2 mm). ... #Clinical #Radiology ... #CXR #CHF #Vascular
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
/50 Rule (part 1) ... a chest x-ray (CXR ... /50 Rule (part 2) ... .2 With multiple ... #Radiology #CTChest