10 results
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Fibroelastoma), Mass (Myxoma ... Minor: • < 25% stenosis ... non-culprit vessels • Atrial ... Artery #Embolism #diagnosis ... scoring #criteria #cardiology
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Testing: • TSH level ... level (if patient ... Cardioversion 1. ... severe mitral stenosis ... Fibrillation #AFib #diagnosis
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
on Echocardiogram ... (1) Thickened ... (7) patient in atrial ... #clinical #cardiology ... #a4c #thrombus
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
stenosis of proximal ... High rate in <1 ... Serial EKGS in pts ... Electrocardiogram #Diagnosis ... #Cardiology
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
disease and ILD • Liver ... Liver biopsies show ... steatosis and hepatocyte ... RP-ILD Phenotype 1 ... #dermatology #diagnosis
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
: (1) Can be measured ... as opposed to 1 ... profile, including liver ... (to support a diagnosis ... ANA and RF (if clinical
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... Change in clinical ... Severe Aortic stenosis ... change CV risk Chest ... stratification #diagnosis
Amyloidosis - Summary
Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
: 1. ... Clinical suspicion ... Testing: • EKG • Echocardiogram ... disproportionate atrial ... imaging of liver
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Double Shunt on Echocardiogram ... with end-stage liver ... 1. ... as RAP>LAP as atrial ... #clinical #pocus
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This patient’s clinical ... /50 Rule (part 1) ... and second ribs.1 ... bleeding often from a liver ... #Radiology #CTChest