VSR clinical - GrepMed

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Inferoseptal Ventricular Septal Rupture (VSR) with RV dilatation on Cardiac MRI

60 y/o with chest pressure few

Septal Rupture (VSR ... SeptalRupture #VSR ... #CardiacMRI #clinical

Calcium Channel Blockers - Dihydropyridines vs Non-Dihydropyridines
Dihydropyridines (amlodipine, felodipine, nifedipine, nicardipine)
• SVR: Decrease
• Inotropy:

Dihydropyridines vs ... nicardipine) • SVR ... verapamil) • SVR

Patch dehiscence (post surgical correction of congenital VSD) on Echocardiogram

Ivan Stankovic, MD, PhD @Ivan_Echocardio

#VSD #Patch #dehiscence

of congenital VSD ... Ivan_Echocardio #VSD ... Echocardiogram #PSAX #clinical

Syncope in 3 Steps
1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA)
2. Heart vs

Heart vs SVR Heart ... > fast or slow SVR

Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
• Natural phytochemical from turmeric
• 2g/day divided in 2-3

rates with 5ASA vs ... Probiotics: • VSL ... coli Nissle • VSL ... #3: ↑ clinical response ... remission with 5ASA vs

Papilledema vs Normal Optic Disc

Blurred vs sharp optic disc margins

#Papilledema #OpticDisc #Normal #Comparison #Fundoscopy #Ophthalmology #Clinical

Papilledema vs Normal ... Disc Blurred vs ... Ophthalmology #Clinical

Central Venous Catheter site selection - Clinical Decision Aid
IJ vs Subclavian vs Supraclavicular vs Femoral by

site selection - Clinical ... Decision Aid IJ vs ... Subclavian vs Supraclavicular ... vs Femoral by ease

Failure to Thrive - Evaluation Checklist
• History: Baseline, ADLs/iADLs, Med Rec, ROS, Social support &

neglect • Exam: VS ... Vit D, ECG, CXR, ESR

Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting

death Common Clinical ... from bl), wide vs ... • Ext: warm vs ... shins and up), dry vs ... Shock - Decreased SVR

Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
• Hemorrhage, dehydration due

Framework MAP = CO x SVR ... third-spacing • ↓ CO, ↑ SVR ... arrhythmia • ↓ CO, ↑ SVR ... PAH • ↓ CO, ↑ SVR ... toxins • ↑ CO, ↓ SVR

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