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diagnosis cardiology clinical contrast echocardiogram pocus treatment 1: apml atrium cardiomyopathy differentiation ecg effect elevation endocarditis evaluation hematology intrapulmonary negative
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
pulmonary hypertension ... Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c
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 Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
- Differential ... Small secundum ASD ... to right shunt 2. ... echocardiogram #s4c ... #pocus #bubble
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 Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
palpable purpura 2/ ... 2 vasculitis, ulcers ... recent DAN) • EMG ... blood retum in serial ... #diagnosis #management
Differentiation Syndrome in APML Epidemiology: • Incidence: common in APL (2-48% depending on the study) • Triggers:
common in APL (2- ... Imaging: CXR- pulmonary ... Moderate > 2/3 and ... initiation • Differential ... APML #diagnosis #management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... indicated • EKG ... Obtain EKG if: ... days before Pulmonary ... surgical management
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... QRS complex Pulmonary ... elevation seen > 2 ... Segment #Elevation #differential ... #ekg #electrocardiogram
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
other causes* 2. ... Differential Diagnosis ... cardiomyopathy • Pulmonary ... Management during ... Serial TTE and close
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG
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