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

An elderly patient with dyspnea -
Atrial Septal Defect ... (ASD) with Shunting ... Ivan_Echocardio #Atrial ... #pocus #bubble # ... Shunting
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram (a4c ... Ivan_Echocardio #atrial ... clinical #cardiology #pocus ... #shunting
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
conduction Uses: - Atrial ... atrial flutter ... on ECG (at therapeutic ... Electrocardiogram #EKG ... Cardiology #Digitalis #ECG
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... ) in the right atrium ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram ... clinical #cardiology #pocus
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
High altitude (eg ... Intrapulmonary shunting ... (eg, pulmonary ... , intracardiac shunting ... (eg, atrial or
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Multifocal Atrial ... dominant pacemaker focus ... rhythm, in sharp contrast ... diagnosis #cardiology #ekg ... #ecg #electrocardiogram
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
when possible (eg ... bone fractures, direct ... dysrhythmias (eg ... , atrial fibrillation ... reverse the insult (eg
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... ’s • Reduced Arterial ... B3: Hereditary Defects ... myopathies - Defects
Hemoglobin A1c (glycated hemoglobin) reflects the average blood glucose concentration over the course of the RBC
equation to calculate eAG ... as follows: eAG ... Complications Trial ... A1c exhibited direct ... triglycerides, and LDL
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Recent PCI/stenting ... CARP, DECREASE V trials ... management for select