10 results
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
Ventricular Pressure vs ... “D Sign” EI > 1 ... DSign #Ultrasound #echocardiogram ... #psax #diagnosis ... #cardiology #pocus
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Management Algorithm ... revascularization (PCI vs ... acute coronary syndrome ... Angina #ChestPain #Diagnosis ... #Cardiology #EBM
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
1. ... Small secundum ASD ... #cardiology #clinical ... #echocardiogram ... #s4c #pocus #bubble
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
wide-complex tachycardia: bundle ... restoring sinus rhythm vs ... Cardioversion 1. ... Fibrillation #AFib #diagnosis ... #management #cardiology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
), compartment syndrome ... • If stable ... followup within 1 ... MH/CCF/CWRU EM ... #XRay #Diagnosis
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... hepatopulmonary syndrome ... as RAP>LAP as atrial ... #clinical #pocus ... intrapulmonary #cardiology
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
ICU Liberation Bundle ... Target -1, but will ... Propofol infusion syndrome ... #CriticalCare #diagnosis ... #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- Cataract Plan ... one post op Cardiology ... CARP, DECREASE V trials ... medical and surgical management ... stratification #diagnosis
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Cardiomyopathy - Summary 1. ... Delivery • Stable ... consensus on risk vs ... months before 1° ... #management #cardiology
Purpose: We sought to develop a patient decision aid to promote shared decision-making for patients who
have no serious diagnosis ... decision (admission vs ... with a negative diagnostic ... #Management #PatientInfo ... #Cardiology #EM