10 results
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... echocardiogram #s4c ... #pocus #bubble
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
(Type 1) or anatomic ... shunt (Type 2) ... blood gas (ABC) ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
1. ... failure, and death. 2. ... Subepicardial atrial ... #electrocardiogram ... #differential #
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... wide-complex tachycardia: bundle ... Cardioversion 1. ... cardioversion 2. ... AFib #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 ... medical and surgical management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
feature, PRS can affect ... palpable purpura 2/ ... 2 vasculitis, ulcers ... recent DAN) • EMG ... #diagnosis #management
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... 1. ... Early transit of bubbles ... as RAP>LAP as atrial ... clinical #pocus #a4c
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
common in APL (2- ... Imaging: CXR- pulmonary ... symptoms, or> 1 ... initiation • Differential ... APML #diagnosis #management
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
• Classic triad ... Hypertension: 1/ ... may present with pulmonary ... diagnostic procedures (eg ... phenoxybenzamine blocks alpha-1
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Cardiomyopathy - Summary 1. ... other causes* 2. ... Differential Diagnosis ... cardiomyopathy • Pulmonary ... months before 1°