11 results
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... with Contrast (a4c ... Stankovic, MD, PhD ... #Septal #Defect ... #clinical #pocus
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
Echocardiogram (a4c ... Stankovic, MD, PhD ... Ivan_Echocardio #atrial ... #septal #defect ... clinical #cardiology #pocus
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
ventricle (LV) and ... left atrium (LA ... orientation of the septum ... #Clinical #EM # ... Cardiology #POCUS
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
patient with an ASD ... Stankovic, MD, PhD ... #atrial #septal ... #defect #a4c #Echocardiogram ... clinical #cardiology #pocus
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
predispose to other orthopedic ... of patients w SCD ... Osteomyelitis / Septic ... • Differentiate ... #diagnosis #causes
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
a result of arterial ... follow-up with PCP ... or orthopedics ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Diagnosis Framework ... Leg Pain: • PAD ... Poikilothermia • Septic ... #diagnosis #lower
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
family history, PCKD ... aneurysm, sudden and ... symptoms in non-arterial ... postpartum #Diagnosis ... Dangerous #Deadly #Differential
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... Avoid ARBs • ICD ... should be done on diagnosis ... Serial TTE and close ... Cardiomyopathy #diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC ... Intraabdominal - Orthopedic ... indication of AC ... CARP, DECREASE V trials ... stratification #diagnosis