POCUS, critical care, emergency medicine, anaesthesia
Hong Kong
Joined March 2019
- Tweets956
- Following171
- Followers608
- Likes16.5K
Jonathan Cheung retweeted
The most stenotic bioprosthetic mitral valve I have encountered. Mean transmitral gradient 31 mmHg at HR 74 bpm, EOA of just 0.2 cm².
The pt was transferred from OSH in pre-shock. Successful TMViV, no valvular or PVL, mean gradient 3 mm Hg.
Jonathan Cheung retweeted
Sometimes the sonographer has an interesting take. Here SSN view obtained after Definity. Diagnosis? @WvuCvFellows @argulian @CASivaram1 @alex1708ander #echofirst @a_l_bailey @harshi_md
Jonathan Cheung retweeted
#echofirst
✅ For fellows & other early learners
✅ Diagnosis & differential ?
✅ Tagging all experts below mainly for a wider reach to learners. This is too simple for them!
@HeartOTXHeartMD
@iamritu
@DrRajeshG1
@argulian
@purviparwani
@DavidWienerMD
@Hragy
@PWesslyMD
@hvanspall
@jaideeppatelmd
Jonathan Cheung retweeted
*VALVE CASE OF THE MONTH*
Early 40s, admitted with exertional CP and one episode of syncope
Loud systolic & diastolic murmurs
Here's the first PLAX view on TTE
#echofirst
Jonathan Cheung retweeted
Thrombus in transit through a PFO AKA “ticking time bomb” 💣 imminent risk for #PE (pulmonary embolism but also for paradoxical embolism) #echofirst male patient with genital cancer
🫀 Thrombus (or tumor mass 😣) in transit through a PFO…
One in a million‼️
#echofirst
@ASE360 @ImagenCardiaca @Sochicaroficial @SONECOM_AC @echo_stepbystep @VazyurVasquez @SISIACOficial @MAecocardio @MigueldeBoedo @iamritu @VerwerftJan @JRodriPalomares @josejgdnews @escardio
Jonathan Cheung retweeted
A 25 yr old, known to have small VSD from childhood who has been asymptomatic till 3 weeks back presented with worsening dyspnoea. Likely diagnosis?
Jonathan Cheung retweeted
A 34 yr female was referred to us as Primary PH with R-> L shunt through PFO -> cyanosis.On clinical exam she had long systolic murmur in back which is unusual in PPHN. It finally turned out as Multiple peripheral PS. MESSAGE IS “TR JET VELOCITY GIVES RV PRESSURE NOT PA PRESSURE”
Jonathan Cheung retweeted
When blindly introducing a Swan Ganz PA-catheter from the left neck side, another dangerous surprise could be the unexpected presence of LSVC (left superior vena cava) #echofirst
⚠️ Inflating the balloon of the catheter can cause a fatal rupture of the coronary sinus ⚠️
Unexpected finding in #echofirst TOE pre Heart-TX. I had a strange feeling and didn’t introduce the Swan-Ganz blindly in the induction room, probably avoiding fatal PE.
Do you always check for intracardiac thrombi before putting the Swan-Ganz in?
Jonathan Cheung retweeted
Suprasternal view can hide surprises. A patient with known malignancy. What is the finding?
Jonathan Cheung retweeted
TTE in a patient in PACU after surgery for valve disease. Already extubated. Slightly hypotensive. Abnormal ECG. Elevated CK, CK-MB
👉 what’s most likely the reason?
👉 A-L-P-I-S? #echofirst
👉 which valve was operated on?
Jonathan Cheung retweeted
Rare glimpse of echocardiogram just at the onset of VF, no organized heart activity and....
#cardiotwitter #MedTwitter
Jonathan Cheung retweeted
Super scary, but not for long 👉 LV clot removed in MIC approach 🔪
Ultra-fast-track-cardiac anesthesia (UFTCA) & enhanced recovery after surgery (ERAS) #echofirst @RootGal210 @ross_prager
Tricenarian with past history of myocardial infarction (10 years ago)
Jonathan Cheung retweeted
