Day 1 Cardiology #Twearls after call #FunFacts

MR Murmur can be heard best various locations based on jet direction

Osler nodes and Janeway lesions <5% sensitive for endocarditis and may be more prevelant in subacute forms

Functional Medicine exists https://www.ifm.org/functional-medicine/">https://www.ifm.org/functiona...

#highvaluecare practices shared.

Do you always need that ABG? Probably not...VBG + sp02 generally sufficient @iBookCC @PulmCrit @adamdavidthomas

https://emcrit.org/pulmcrit/pulse-oximetry/

Every">https://emcrit.org/pulmcrit/... syncope need TTE? Nope #TWDFNR @tony_breu @WrayCharles @JHospMedicine

https://www.journalofhospitalmedicine.com/jhospmed/article/152317/hospital-medicine/things-we-do-no-reason-echocardiogram-unselected-patients">https://www.journalofhospitalmedicine.com/jhospmed/...

#PrimaryCare discussion was focused on GDMT + CRT in HFrEF

@cardionerds are clutch

https://tinyurl.com/y9a3ugee 

https://tinyurl.com/y9a3ugee&... href="https://twitter.com/American_Heart">@American_Heart guidelines for CRT below but @JACCJournals paper showed recommendation variations @DoctorPhillEP @TheEKGGuy

https://tinyurl.com/y9kxkrg4 ">https://tinyurl.com/y9kxkrg4&...

@American_Heart guidelines for CRT below but @JACCJournals paper showed recommendation variations @DoctorPhillEP @TheEKGGuy https://tinyurl.com/y9kxkrg4&..." title=" #PrimaryCare discussion was focused on GDMT + CRT in HFrEF @cardionerds are clutch https://tinyurl.com/y9a3ugee&... href="https://twitter.com/American_Heart">@American_Heart guidelines for CRT below but @JACCJournals paper showed recommendation variations @DoctorPhillEP @TheEKGGuy https://tinyurl.com/y9kxkrg4&..." class="img-responsive" style="max-width:100%;"/>

#Rounds had some take aways

Lidocaine is a great drug for prolonged QT induced cardiac arrest bc it doesnt risk worsening QT like Amiodarone

@AJunellMD played softball and taught us about Commotio Cordis

Traumatic injury (baseball) can induce VFib!!!

https://www.ahajournals.org/doi/full/10.1161/circep.111.962712">https://www.ahajournals.org/doi/full/...

Our #ClinicalReasoning discussion focused on pretest probability and base rate of disease to guide #PatientCentered testing.

Excellent thread by @CPSolvers below on pre and post test probability

@MDdreamchaser https://twitter.com/cpsolvers/status/1190341926324592640">https://twitter.com/cpsolvers...

That ends call day learning. More to come!

@DxRxEdu @rabihmgeha @Anand_88_Patel @AnandJag1 @RosenelliEM @medrants @haematognomist @YihanYangMD @DoubleDawgMD @gradydoctor @LindseyShipley8 @RashDecisionz @RakheeBhayaniMD @AmberDeptola @dcoscomd @DrKLindley @kejoynt @DBelardoMD