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35 Cards in this Set

  • Front
  • Back

1. Asc. Aorta

2. Aorta


3. Pulmonary Artery


4. RVOT

5. RA


6. TV


7. RV


8. LA


9. MV


10. LV


11. Lateral wall

12. LA


13. MV


14. LV

15. LA


16. MV


17. LV


18. LAA


19. INFERIOR WALL


20. ANTERIOR WALL

21. LA


22. MV


23. LV


24. LVOT


25. AO


26. RV


27. POSTERIOR WALL


28. ANTERO-LATERAL WALL

36. LA


37. RA


38. RV


39. RVOT


40. NONCORONARY CUSP


41. LEFT CORONARY CUSP


42. RIGHT CORONARY CUSP


43. LA


44. MV


45. LV


46. LVOT


47. AV


48. AO


49. RV

50. LA


51. IVC


52. SVC


53. RA

54. R. PA


55. PA


56. AO


57. SVC

58. AO


59. M. PA

60. DESC. AO

61. DESC. AO

62. POSTERIOR LEAFLET MV


63. ANTERIOR LEAFLET MV


64. RV


65. ANTERIOR WALL


66.LATERAL WALL


67. POSTERIOR WALL


68. INFERIOR WALL


69. IVS


70. POSTERIOR MEDIAL


71. ANTERIOR LATERAL


72. LV

78. LV


79. MV


80. AO

81. RV


82. TV


83. CHORDAE


84 RA

85. RV


86. LV


87. MV


88. LA


89. AV


90. AO


73. PAPILLARY MUSCLE


74. LV


75. MV


76. LA


77. LAA

29. LA


30. RA


31. TV


32. RV


33. RVOT


34. PV


35. AO

What are the appropriate indications for a TEE?

1. Evaluating valves


2. Thrombus


3. MitralClip procedure


4. A-fib ablation


5. LAA closure


6. PFO, ASD, VSD closure


7. Transcatheter


8. Surgical repair


9. Endocarditis


10. Mass


11. Dissections


12. Critically ill pts

How are pts prepared for TEEs?

1. Fast; 4 hrs for liquids, 6 hrs for solids


2. Outpatients need to bring driver


3. Medical history taken


4. Consent signed


5. Procedure explained


6. BP cuff


7. O2 used


8. False teeth/partials removed


9. Suction


10. EKG


What medications are used with TEEs?

1. Midazolam (Versed)


2. Fentanyl (narcotic)


3. Cetacaine (gag reflex)


4. Viscous lidocaine (gag reflex)

What position should the pt be put in for a TEE?

1. Left lateral decubitus


2. Neck and knees flexed


3. Pillow under head to maintain midline

What are the ABSOLUTE contraindications for a TEE?

1. Esophageal: tumor, stricture, fistula, or perforation


2. Active upper GI bleed


3. Perforated bowel


4. Bowel obstruction


5. Unstable cervical spine


6. Uncooapetative pt

What are the RELATIVE contraindications for a TEE?

1. Barrett Esophagus ( abnormal cell change)


2. H/o dysphagia


3. Esophagitis


4. High grade esophageal varices


5. Active peptic ulcer


6. Neck immobility


7. Severe coagulapthy


8. Severe hiatal hernia


9. Prior neck/chest radiation


10. Esophageal diverticulum


11. Loose teeth

Rotating the TEE probe from 0 to 180 degrees using the multiplane control knob is which kind of movement?

Rotation

Moving the entire transducer rotationally in the esophagus to show a mediolateral change in image plane is which kind of movement?

Turning

Bending and extending the probe to image superiorly or inferiorily at an angle is which kind of movement?


Angulation.


1. Anteflexing: anterior


2. Retroflexing: posterior

Lateral motion of the transducer to image different structures in the same plane is which kind of movement?

1. Tilt, AKA flexing left or right

The TEE window that is 20-25cm deep from incisor is:

Upper esophageal

The TEE window that is 30-40cm from incisor is called:

Mid-esophageal

The TEE window that is 40-45cm from incisor is called:

Transgastric

The TEE window that is 45-50cm from incisor is called:

Deep transgastric

What normal structures could be mistaken for pathology when performing a TEE?

1. Crista terminalis (RA wall; mass)


2. Eustachian valve & chiari network ( atrial lesions)


3. Lipomatous hypertrophy of IAS (atrial mass)


4. Coumadin ridge (LAA and atrial insertion of the LUPV)


5. Moderator band ( mass)


6. Lambls excrescence ( AoV, MV; mass)


7. Valve strands & sutures ( valve lesions)