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

TOE Image acquisition

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 

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.

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