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cardiology management pulmonary asd clinical echocardiogram endocarditis pocus right treatment abnormal acidosis amyloid amyloidosis artery atrium avr calculations catheter catheterization
Atrial septal defect An ECG may show the “crochetage” pattern (92% specific)—a notch near the apex of
Atrial septal defect ... An ECG may show ... notches signify a larger ... shunt #ECG #EKG ... Crochetage #Sign #ASD
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study. Eric Abrams, MD @eabramsMD #Bubble
Large atrial septal ... defect on cardiac ... #Study #ASD #Atrial ... Echocardiogram #A4C ... #Large
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 Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis - Absent a wave - Atrial fibrillation, sinus
Pressure Waveforms - Differential ... Diagnosis - Absent ... enlarged a waves - Large ... severe right heart failure ... septal defect
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... aVR • Classic EKG ... #AVR #leadAVR #ecg ... #electrocardiogram ... #diagnosis #ekg
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
High altitude (eg ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... , atrial or ventricular ... septal defects)
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
in Right Atrium ... Diagnosis 1. ... Small secundum ASD ... echocardiogram #s4c ... #pocus #bubble
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 Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... Hypokalemia • Bundle ... 300 = NSVT EKG ... beats) • Heart failure ... #differential #
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... by excretion (e.g ... its metabolism (e.g ... B3: Hereditary Defects ... myopathies - Defects
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
RV dysfunction. e.g ... correlate in the SHOCK trial ... forward flow. e.g ... consumption) can lead to large ... artery #catheter #diagnosis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... New-onset Heart Failure ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG
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