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Total Anomalous Pulmonary Venous Return (TAPVR)
 • Introduction
 • Classification
 • Pathophysiology of TAPVR
 • Presentation
Diagnosis • Chest ... XRay: Classic “ ... snowman sign” can ... #cardiology #peds ... #pediatrics #summary
This is a parasternal long axis view of a young patient presenting with 3 days of
He had no chest ... pain, a normal chest ... x-ray and and ECG ... sudden aortic regurgitation ... #POCUS #CardiacUS
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
murmur of valvular regurgitation ... Chest x-ray: signs ... Consider cardiac ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Pediatric Trauma ... Binder) • Use POCUS ... or pericardial tamponade ... cord injury #Pediatrics ... Survey #CABCDE #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... one post op Cardiology ... change CV risk Chest ... X-ray: • Not ... medical and surgical management
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This post will focus ... wall, a chest x-ray ... bleeding often from a liver ... #Radiology #CTChest