Late night weekend case.. evacuating intracranial bleed, fontan physiology!
It is 2 am. After working for 17 hours straight out of your 24 hour shift, you get a phone call from neurosurgery.
We have a patient coming in from OSH that was just discharged, and she has a large cerebellar subdural. She is "kind of sick", you are warned. You collect as much information as you can from the neurosurgery resident and look up the pt on EMR (some minor identifying details altered)
28 y.o. 128 kg (BMI 52)
- Unbalanced AV septal defect and TGA, pulmonic stenosis s/p fontan...
Late night weekend case.. evacuating intracranial bleed, fontan physiology! (Source: Student Doctor Network)
Source: Student Doctor Network - June 24, 2019 Category: Universities & Medical Training Authors: eikenhein Tags: Anesthesiology Source Type: forums
Late night weekend case..
It is 2 am. After working for 17 hours straight out of your 24 hour shift, you get a phone call from neurosurgery.
We have a patient coming in from OSH that was just discharged, and she has a large cerebellar subdural. She is "kind of sick", you are warned. You collect as much information as you can from the neurosurgery resident and look up the pt on EMR (some minor identifying details altered)
28 y.o. 128 kg (BMI 52)
- Unbalanced AV septal defect and TGA, pulmonic stenosis s/p fontan...
Late night weekend case.. (Source: Student Doctor Network)
Source: Student Doctor Network - June 20, 2019 Category: Universities & Medical Training Authors: eikenhein Tags: Anesthesiology Source Type: forums
Atrial septal defect related question
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Atrial septal defect related question
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Source: The Student Room - January 30, 2018 Category: Universities & Medical Training Authors: nexttime Tags: Medicine Source Type: forums
How does Patent Foramen Ovale cause paradoxical emboli
Maybe I'm overthinking it, how could an embolus possibly travel from right atrium to left atrium when the LA has a higher pressure than RA after birth? The PFO is also pushed close at all times by the left atrial pressure.
Same thing for Atrial Septal Defect. Doesn't Eisenmenger syndrome need to happen (reversal to right to left shunt) for a clot to travel from right to left heart? (Source: Student Doctor Network)
Source: Student Doctor Network - May 29, 2017 Category: Universities & Medical Training Authors: TexasMeds Source Type: forums
What your patient is thinking: "My experience of stressed out staff..."
Growing up with pioneering treatment is the latest What your patient is thinking piece from The BMJ. It is written by Liza Morton who was the world's first 11 day old baby with congestive heart failure to be attached to an external cardiac pacemaker for complete heart block. She was fitted with five early implantable pacemakers by thoracotomy before age 7, she had surgical repair of her atrial septal defect and her first variable rate pacemaker in her early teens, and four further variable rate pacemakers.
She describes her childhood memories of being treated for congenital h...
Source: Doc2Doc BMJ Cardiology - August 24, 2015 Category: Cardiology Authors: Sabreena Source Type: forums
