15 results
Cannon A Waves of Complete Heart Block on Physical Exam
A patient presented to clinic with lightheadedness
the increase in CVP ... normally occurs during ... When the atrium ... contracts against ... complete heart block (2)
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... to right shunt 2. ... echocardiogram #s4c ... #pocus #bubble
Thrombotic Microangiopathy - TMAs
1. Not all MAHAs are due to TMAs but (almost) all TMAs cause
Thrombotic Microangiopathy ... cause MAHA. 2. ... TMA is a triad of ... catastrophic APS, SRC ... TMAs #hematology #diagnosis
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome - Diagnosis ... anatomic shunt (Type 2) ... , 88% spec • Contrast-enhanced ... cycles after right atrial ... Positive findings on contrast-enhanced
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
Acromegaly: frontal bossing ... decade → peripheral/acral ... Mortality due to CVD ... GH & PRL) • ~2% ... Pituitary MRI+contrast
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
bubbles = PFO 2. ... as RAP>LAP as atrial ... appears to be coming ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary
Normal hepatic vein Doppler Ultrasound tracing
1) a large antegrade waveform (negative velocity) noted during early and
velocity) noted during ... as a result of atrial ... towards the RV apex 2) ... Ultrasound #tracing #diagnosis ... #pocus
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Arterial Line: ... arterial line: ... quickly (30-90 sec ... a 15 sec expiratorv ... Tolerance #testing #diagnosis
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
- ↓ Effective arterial ... Treatments: • Calcium 2- ... 3g IV Ca-gluconate ... 10U reg IV + 1-2 ... Terbutaline 7 µg/kg SC
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
high LDH, low Ca ... decompression SVC ... 200–300 mL/h) 2. ... CAR-T day 3–10; 2– ... Oncology #HemeOnc #Diagnosis