10 results
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... includes: stage 1 ... leads indicates atrial ... injury. stage 2 ... #Spodick #ECGEducator
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Differential Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... echocardiogram #s4c ... #pocus #bubble
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
valve doesn’t look typical ... sinus rhythm... 1. ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #clinical #cardiology
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Cardioversion 1. ... cardioversion 2. ... Initial heparin not typically ... AFib #diagnosis #management ... #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... one post op Cardiology ... CARP, DECREASE V trials ... surgical management ... for select patients
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
• MS typically ... Afferent pupillary defect ... combination of: 1. ... 2. ... sclerosis #diagnosis #management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Cardiomyopathy - Summary 1. ... other causes* 2. ... Stable patients typically ... months before 1° ... Serial TTE and close
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
present, they are typically ... • Classic triad ... Hypertension: 1/ ... phenoxybenzamine blocks alpha-1 ... and alpha-2 adrenoceptors
If the patient has a HEART Score of 0-3 and a negative initial troponin, have a
been lowered to < 1% ... choice to recommend 1- ... the time of arrival ... #Management #PatientInfo ... #Cardiology #ChestPain