10 results
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Admitted for severe abdominal ... admission: acute ischemia ... territories: mesenteric ischemia ... right MCA and ischemia ... Transesophageal #Ultrasound #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac Ischaemia ... signs of cardiac ischaemia ... factors for cardiac ischaemia ... possible. ❺ If ischaemia ... #Cardiac #Ischemia
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Decompensated HF • New ischemia ... ventricular hypertrophy, pericardial ... thrombus • Digoxin ... AFib #diagnosis #management ... #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Obtain femoral arterial ... flow in all major epicardial ... DCSI #Initiative #Management ... #Cardiology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... Summary Causes ... Features: • Triad ... Tachycardia - N/V - Abdominal ... perfusion → renal ischemia
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... EGPA (↓ LVEF, pericardial ... Goodpasture's cause ... blood retum in serial ... differential #diagnosis #management
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
ICU for acute ischemic ... What are the next POCUS ... tests are not POCUS ... : serial blood cultures ... A4C #clinical #cardiology
Cardiac LV Thrombus on Echocardiogram Short-Axis View (PSAX)
48 year old woman in ICU for acute ischemic
ICU for acute ischemic ... What are the next POCUS ... tests are not POCUS ... : serial blood cultures ... PSAX #clinical #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Septic Emboli Cause ... Early embolic/ischemic ... Endocarditis #diagnosis #management ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... one post op Cardiology ... undergoing AAA or upper abdominal ... CARP, DECREASE V trials ... medical and surgical management