32 results
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
venous origin of CE material ... , TEE, CT or MRI ... non-culprit vessels • Atrial ... Major + 1 Minor ... #diagnosis #differential
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... See thread for POCUS ... Pulmonary embolism ... #A4c #clinical
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
(HPS) HPS-differential ... diagnosis: 1. ... Pulmonary vasculature ... Diseases of the ... Alveolar-arterial
Left Ventricular Thrombus Arterial Embolization on Echocardiogram- Caught in Action! 

The TTE was ordered for cardioembolic
Ventricular Thrombus Arterial ... Embolization on Echocardiogram ... Embolization #Cardiac #Arterial ... #Cardiology #A4c ... #Embolism
Idiopathic Pulmonary Arterial Hypertension (IPAH) on Echocardiogram

55 year old female.  Amazing how the body adapts
Idiopathic Pulmonary ... Arterial Hypertension ... (IPAH) on Echocardiogram ... #Arterial #Hypertension ... #cardiology #a4c
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
Approach to the ... Hypotensive Patient - Differential ... tachycardia • Atrial ... depletion • Pulmonary ... embolism • Pericardial
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Hypertension 1. ... Pulmonary arterial ... arterial hypertension ... hypertension of the ... Classification #Diagnosis #Differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Cause Injury By ... Marantic (NTBE) Differential ... ↑ Suspicion -> TEE
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... to neurologic injury ... embolus SHUNT ... shunting (eg, atrial ... Failure #hypoxia #Differential
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Approach to the ... Embolism, Obstructive ... Gradient #alveolar #arterial ... #pulmonary #Hypoxia ... #hypoxemia #differential