10 results
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
in arterial oxygenation ... (Type 1) or anatomic ... shunt (Type 2) ... Clinical Presentation ... blood gas (ABC)
VSD on Newborn POCUS Echocardiogram (A4C)
Term newborn presents with irritability and increased work of breathing. Bedside
signs of fluid ... echo showed 2 VSDs ... ventricular #septal #defect ... #pediatrics #clinical ... #cardiology #a4c
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
renal failure Clinical ... e.g. incidental CXR ... Pulmonary: dyspnea ... anterior/posterior MSK ... Diagnosis #Management #Signs
RV Failure secondary to Pulmonary Arterial Hypertension on Echocardiogram
Pulmonary arterial hypertension resulting in severe RV dilation
severe RV dilation and ... 100% reliable sign ... Echocardiogram #clinical ... #cardiology #s4c ... #pocus
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... murmur 3/6) - Pulmonary ... Change in clinical ... days before Pulmonary ... one post op Cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
pulmonary hypertension ... 1. ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary ... #cardiology #saline
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Echocardiogram (1) ... - with severe MS ... (2) Lvef 25-30% ... (7) patient in atrial ... #cardiology #a4c
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Management Pneumonia Signs ... Egophony (May appear 1- ... Yield of blood CX ... low ranging from 2% ... Management #treatment #Pulmonary
Artery-to-bronchus ratio 
Normally the vessels in the upper lobes are smaller than the accompanying bronchus with
lower lobes the arteries ... > 3 mm (normal 1- ... 2 mm). ... #Clinical #Radiology ... #CXR #CHF #Vascular
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... clinical judgement ... /50 Rule (part 1) ... second ribs.1 ... /50 Rule (part 2)