Welcome, my name is Devine. This is episode 490 of the Devine Intervention

Podcast. In this podcast I'm going to be discussing the clutch trans esophagil

eco-cardi podcast. Clotch Transcivaligram Podcast. The Clotch Transes of a Joe Ecocardigram

Podcast. Here's a thing. On the USMILE's they love to test echocardiography and sometimes you see an

answer that says trans thoracic echocardiogram. At other times you see an answer that

says trans esophagile, eco-cardiogram. Many people massively struggle with.

Man, when do I pick trans-thorastic, when do I pick trans-sace of a jail?

If you listen to this podcast, that was said to all those issues for Transylrasic, Equinto I big trans-Asovaggio.

If I listen to this podcast, that was said to all those issues for you.

But I guess before I go into it, how cardiography is basically a ultrasound to look at the heart.

Simple as that. You can also look at the yoda pretty well with an echocardiogram. There are two major types of echocardi Gras. There's the transphylacic, basically they slap the ultrasound probe on your chest straight up.

And then there's the transester of a gel where they put the ultrasound probe in your

esophagus. Why would they do that? Well here's the thing. It just so happens to be that the esophagus is posterior to the left ettram. That's a high-yold factor

know for your exams, right? The esophagus is posterior to the left atrem. So if you put an ultrasound

probe there, you're going to get just beautiful views of the heart.

So in general, in situations where you want better sensitivity, better specificity,

you want to maybe go ahead and do a trans cell cellageal eco-cardiogram. Now, you can already begin to see how they can make a question

real quick from a big classic complication of trans-es of a gel-cordiography is very rare, but this is probably the most dangerous complication. They give you a question about a person. The person just got a TEE. Right. And then you notice that this person 30 minutes later, they have shortness or breath, they have fevers, they have subcutaneous emphysema, that's the

of a geopter, right? You can remember as a geopter is certainly a big complication of a trans-sopagil cardiography that you want to know for your exams. Obviously in that case,

you're going to take them to surgery. Well, if you want to confirm the diagnosis, one way you can do that is with

gastrographin, that's water soluble contrast in a map right what a soluble contrast

please we use barium if you suspect the president's well goes is

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