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cardiology diagnosis asd clinical differential echocardiogram pocus 1: artery contrast coronary criteria crochetage doubleshunt embolism evaluation infectiousdiseases intrapulmonary management perioperative
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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 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 ... shunt #ECG #EKG ... #Cardiology #Crochetage ... #Sign #ASD
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Etiology: • Direct ... Angiography or Cardiac ... Fibrillation ... , h/o of cardiac ... surgery, endocarditis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
procedure • Cardiac ... Libman Sacks) • Atrial ... Glomerulonephritis Septic ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
procedure • Cardiac ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... tumor embolism Septic ... ↑ ESR, CRP • EKG
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 ... PVeins (extra-cardiac ... clinical #pocus #a4c
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 Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... indicated • EKG ... Obtain EKG if: ... postoperative cardiac ... management for select
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