9 results
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
defect (Type 1) ... or anatomic shunt ... (Type 2) Clinical ... blood gas (ABC) ... scanning or pulmonary
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Diagnosis 1. ... left to right shunt ... 2. ... echocardiogram #s4c ... #pocus #bubble
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... 1. ... Early transit of bubbles ... as RAP>LAP as atrial ... clinical #pocus #a4c
Classification of Pelvic Ring Fractures: Mechanisms, Clinical Features and Complications
 • Anterior Posterior Compression (APC) -
) - Direct/indirect ... Grade 1 - Pubic ... Grade 3 - APC 2 ... Vertical Shear (VS) - Axial ... #Orthopedics #MSK
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... wide-complex tachycardia: bundle ... ventricles; to detect ... Cardioversion 1. ... cardioversion 2.
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
decade → peripheral/acral ... before epiphyseal fusion ... GH & PRL) • ~2% ... 2 adenoma mass effect ... Pituitary MRI+contrast
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 ... days before Pulmonary ... CARP, DECREASE V trials ... management for select
#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea
0 mEq Acid Deficit ... mEq Bicarbonate Deficit ... 70 mmHg on 100% mask ... MV < 10L/min, Shunt ... : IV Infusion: 1
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Echocardiogram (1) ... (2) Lvef 25-30% ... spontaneous echo contrast ... (7) patient in atrial ... clinical #cardiology #a4c