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cardiology ecg ekg management clinical differential echocardiogram approach artery avr contrast coronary dewinter doubleshunt embolism evaluation heartfailure hepatology hepatopulmonary hfref
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
anterior descending (LAD ... mm) 2) ST depressions ... TWaves #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(LV thrombus, LAA ... Angiography or Cardiac ... Criteria) OR (2 ... Artery #Embolism #diagnosis ... #cardiology
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
x 10 Rhythm (1) ... : WPW, ectopic atrial ... pacer - QTc < 1/ ... Approach #ECG #EKG #diagnosis ... #electrocardiogram
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG 1. ... anterior descending (LAD ... failure, and death. 2. ... Subepicardial atrial ... #leadAVR #ecg #electrocardiogram
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram (1) Thickened and fibrosed MV leaflets - rheumatic etiology
Echocardiogram (1) ... (2) Lvef 25-30% ... (4) All 4 cardiac ... (7) patient in atrial ... #a4c #thrombus
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 Radiation Injury Acute Radiation Toxicity primarily affects rapidly dividing cells based on dosage Hematopoiteic - Pancytopenia, Infection •
Gy • Onset <2 ... • Onset Hours Cardio ... people) = 4.5 Gy. 1 ... Gy = ~10,000 CXRs ... Injury #Toxicity #diagnosis
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
diffusion-perfusion defect (Type 1) ... anatomic shunt (Type 2) ... left heart 3-6 cardiac ... cycles after right atrial ... Criteria: • Underlying
Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
ankle swelling. 2. ... → no signs of CXR ... congestion. 2. ... Consider cardiac ... Other: Electrocardiogram
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... one post op Cardiology ... postoperative cardiac ... CARP, DECREASE V trials ... stratification #diagnosis
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
1. ... L shunt as RAP>LAP ... as atrial septum ... PVeins (extra-cardiac ... clinical #pocus #a4c
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