10 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, Serial ... trops (-) EM ... HCM #clinical #echocardiogram ... #plax #cardiology ... #pocus
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Differential Diagnosis 1. ... to right shunt 2. ... #clinical #echocardiogram ... #s4c #pocus #bubble
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... 1. ... as RAP>LAP as atrial ... #clinical #pocus ... #a4c #intrapulmonary
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
sinus rhythm... 1. ... aneurysm idiopathic. 2. ... Long chronic severe ... #a4c #Echocardiogram ... #pocus
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
absence of intrinsic lung ... diffusion-perfusion defect (Type 1) ... anatomic shunt (Type 2) ... cycles after right atrial ... blood gas (ABC)
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(1) Thickened ... (2) Lvef 25-30% ... spontaneous echo contrast ... (7) patient in atrial ... #a4c #thrombus
Transesophageal Echocardiogram (TEE) Windows
1. ME 5-Chamber view 
2. ME 4-Chamber view 
3. ME-Commissural view 
4. ME
Transesophageal Echocardiogram ... (TEE) Windows 1. ... ME-Long axis view ... ME Right Pulmonary ... ME Left Atrial Appendage
Cardiac metastasis of lung cancer (2D/3D TTE)

What is the most common type of cancer to metastasize
metastasis of lung ... metastasize (>1/ ... 2 melanoma cases ... #echocardiogram ... #pocus #a4c #3d
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... days before Pulmonary ... one post op Cardiology ... unless prior heart/lung ... CARP, DECREASE V trials
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... /50 Rule (part 1) ... #Radiology #CTChest ... #Lung #Pulmonary