11 results
Thromboelastogram Interpretation
Reaction Time (R Value):
 - Time till initiation of fibrin clot
 - Treatment: FFP, protamine
K
Reaction Time (R Value ... , protamine K value ... Thromboelastogram #TEG ... Thromboelastography #diagnosis ... #coagulation #hematology
Mobile Atrial Thrombus on Transesophageal Echocardiogram
TEE mid-esophageal view demonstrating left atrial thrombus. Also note mechanical mitral
Transesophageal Echocardiogram ... note mechanical mitral ... valve. ... Transesophageal #Echocardiogram ... #TEE #cardiology
RA/CVP Waveform Interpretation

Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
RA/CVP Waveform Interpretation ... RV), tricuspid valve ... Success of mitral ... valve repair (ie ... #Diagnosis #Cardiology
Typical mitral valve prolapse with an eccentric jet hugging the left atrial wall (Coanda effect). TTE
Typical mitral valve ... hugging the left atrial ... mitralvalve #prolapse #tee ... #Echocardiogram ... #clinical #cardiology
Venous Thrombosis vs Arterial Thrombosis - Differential Diagnosis Framework

VENOUS THROMBOSIS

 • Acquired Risk Factors:
	- >48 hours
- Differential Diagnosis ... from prosthetic valves ... Infected cardiac valves ... pathophysiology #hematology ... #differential #diagnosis
THROMBOELASTOGRAPHY (TEG)
General Principle
• A small cuvette is rotated to simulate sluggish venous flow and stimulate clot
THROMBOELASTOGRAPHY (TEG ... 2 mm • K - K value ... Thromboelastography #Diagnosis ... #CriticalCare #Hematology ... #Interpretation
Normal Thromboelastogram - Specific parameters represent the 3 phases of the cell-based model of haemostasis: initiation,
propagation -R value ... lysis time (s) #Diagnosis ... #Hematology #Coagulation ... Thromboelastogram #TEG ... #Normal #Interpretation
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
weeks before or TEE ... Moderate or severe mitral ... Mechanical heart valve ... Fibrillation #AFib #diagnosis ... #management #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Involves aortic and mitral ... Libman Sacks) • Atrial ... ↑ Suspicion -> TEE ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
• Prosthetic valve ... involves aortic and mitral ... Libman Sacks) • Atrial ... + ↑Suspicion → TEE ... #cardiology #infectiousdiseases