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. ... #Diagnosis #cardiology ... #pocus #bubble
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis ... Artery #Embolism #diagnosis ... #differential # ... scoring #criteria #cardiology
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Mitral valve doesn ... sinus rhythm... 1. ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #pocus
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... stretched PFO or ASD ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... indication of AC ... one post op Cardiology ... change CV risk Chest ... stratification #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... 2 mm ST elevation ... Sgarbossa criterion 2 ... Equivalents #ECG #EKG #diagnosis ... #differential #
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Diagnosis Framework ... lasting > 30 mins - 1 ... OLIGOARTHRITIS • 2- ... • Bacterial endocarditis ... #Diagnosis #MSK
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
exercise intolerance, chest ... Cardioversion 1. ... cardioversion 2. ... Moderate or severe mitral ... Fibrillation #AFib #diagnosis
Chronic Infraspinatus Muscle Denervation from Spinoglenoid Notch Paralabral Cyst
Imaging Findings:
 • T2-hyperintense diffuse intramuscular signal of
Circumscribed T 2- ... Differential diagnosis ... : 1. ... mri #clinical #Radiology ... #diagnosis #msk
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... /50 Rule (part 1) ... second ribs.1 ... /50 Rule (part 2) ... #Radiology #CTChest