DDU
Lloyd’s DDU notes These are my brief, point-form notes written in the lead-up to the part 3 DDU exam.
Offsite FOAMed Online Resources:
Physics and knobology:
From the fantastic Mike Stone: http://vimeo.com/46937198
Echo
Cardiac anatomy
http://www.echotext.info/presentations/Cardiac%20Embryology%20[61%20MB]/presentation.html
TTE Image acquisition
Level 1
Courtesy of The Alfred ICU: https://www.youtube.com/watch?v=hqZ_Zx59Uvo
Complete
- http://www.bsecho.org/media/40523/micb857_-_echo_template.pdf
- http://bsecho.azurewebsites.net/media/71250/tte_ds_sept_2012.pdf
TOE Image acquisition
- http://asecho.org/wordpress/wp-content/uploads/2014/05/2013_Performing-Comprehensive-TEE.pdf
- http://bsecho.azurewebsites.net/media/10434/toe_minimum_dataset.pdf
Pathology directed (Alfred)
ASE format
Chamber quantification:
http://www.bsecho.org/media/40506/chamber-final-2011_2_.pdf
LV Diastolic dysfunction
Right ventricular assessment including acute pulmonale
http://bsecho.azurewebsites.net/media/10431/pht_guidelines.pdf
Pericardial Tamponade
http://www.echotext.info/presentations/Cardiac%20Tamponade%20[49%20MB]/presentation.html
Valve lesions
Quantifying Regurgitation (A must see resource) http://www.echotext.info/presentations/Quantification%20of%20Valvular%20Regurgitation%20[138%20MB]/presentation.html
- http://www.bsecho.org/media/40509/valve-final-2011_2_.pdf
- http://www.asecho.org/wordpress/wp-content/uploads/2013/05/Evaluation-of-Severity-of-Valv-Regurg-w-2D-and-Doppler-Echo1.pdf
- http://bsecho.azurewebsites.net/media/70491/mv_repair_low.pdf
Mitral regurgitation
Mitral stenosis
http://bsecho.azurewebsites.net/media/10347/ms_guidelines.pdf
Aortic regurgitation
http://bsecho.azurewebsites.net/media/76350/ar_dataset.pdf
Aortic stenosis
http://bsecho.azurewebsites.net/media/70170/as_protocol.pdf
Pulmonary regurgitation/ stenosis
Aortopathy
Atheroma
Dissection
Aneurysm
Endocarditis
RWMA
https://www.youtube.com/watch?v=3FdiDjvELDU
Congenital heart disease/ intracardiac shunts
Cardiomyopathies
http://bsecho.azurewebsites.net/media/10437/hocm_guidelines.pdf
takatsubo: http://www.echotext.info/presentations/Takotsubo%20Cardiomyopathy%20[50%20MB]/presentation.html
Functional
Haemodynamic evaluation
Cardiac output measurement
Intravascular volume status
Assessment for fluid responsiveness.
http://www.youtube.com/watch?v=Dl46AzMNiNE
http://www.youtube.com/watch?v=UN6K_D3WFsk
Evaluation of intracardiac pressures
RAP
RVEDP
Pulmonary artery pressures
Left atrial pressures
Left ventricular diastolic pressure.
Ultrasound
Lung ultrasound
http://thesonocave.com/2013/06/lung-and-thoracic-ultrasound-technique/
Image acquisition
Pathology
Pneumothorax
http://thesonocave.com/2013/06/ultrasound-for-pneumothorax-detection/
Consolidation
Pulmonary oedema
Pleural effusion
Abdominal ultrasound
Image acquisition
FAST
http://www.sonoguide.com/FAST.html
http://emcrit.org/podcasts/fast-exam/
http://thesonocave.com/2013/09/efast/
Pathology
Free fluid/ ascites
Liver
Spleen
Gallbladder /bile duct evaluation
Abdominal AAA
Renal tract acute/chronic renal failure and obstruction
Kidney
Bladder / ureter
OBGYN
Pregnant yes/no.
http://thesonocave.com/2013/04/important-lessons-on-ultrasound-in-early-pregnancy/
Vascular ultrasound
Image acquisition
Venous/arterial line insertion guidance
DVT
Arterial disease
Dissection
Thrombus
Eye ultrasound
Image acquisition
Retinal detachment
Pupils
Optic disc
Procedures
CPR
Cardiac pacing
Thrombolysis (AMI and PE)
Ventilator changes including lung recruitment for ARDS
Volume resuscitation
Adjustment of pharmacologic and circulatory supports.
Fluid drainage
Chest drainage
Pericardial drain
Ascitic tap
Joint aspiration
Tracheal intubation
Nerve block
Vascular access for invasive circulatory support
IABP
ECMO
Online Courses:
123sonography: http://www.123sonography.com
Comprehensive video based online echo learning resource, with bite sized videos. Produced by a team of cardiologists based at the Medical University of Vienna $$. Echo Masterclass recommended.