12 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram (a4c ... Ivan_Echocardio #atrial ... #clinical #cardiology ... #pocus #shunting
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
Illness (SBI): 1) ... Consider BCx, CSF ... 97% specificity 2) ... with CXR, obtain ... suggested if: - ANC
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Echocardiogram (a4c ... sinus rhythm... 1. ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #clinical #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
1. ... Small secundum ASD ... to right shunt 2. ... #cardiology #clinical ... #pocus #bubble
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
pathway between the atria ... is ablation. 1 ... (Delta wave) 2 ... Electrocardiogram #Clinical ... #Diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... Change in clinical ... Recent PCI/stenting ... CARP, DECREASE V trials ... stratification #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... ankle swelling. 2. ... un lymphatic Diagnostic ... → no signs of CXR ... congestion. 2.
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Decompensated HF ... Cardioversion 1. ... cardioversion 2. ... Fibrillation #AFib #diagnosis ... #management #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Myocarditis: 1. ... 2. ... Fulminant: - Acute HF ... agent, steroids, AC ... #Myocarditis #diagnosis
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... as RAP>LAP as atrial ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary