13 results
Mitral Stenosis and Left Atrial Thrombus on Echocardiogram (a4c)

Mitral stenosis is a risk factor for LA
Mitral Stenosis ... (a4c) Mitral ... of underlying cardiac ... #Stenosis #Atrial ... #Thrombus #a4c
Severe Mitral Stenosis- The physical examination revealed a right parasternal heave, a loud S1, a midpeaking
Severe Mitral Stenosis ... low-pitched diastolic rumble ... The left atrium ... clinical #doppler #radiology ... stenosis #cardio
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Pressure Waveforms - Differential ... Absent y descent - Cardiac ... tamponade #Abnormal ... Waveforms #JVP #Differential ... #PhysicalExam #cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... /Aortic Stenosis ... Stenosis ... • Cardiac Tamponade ... Syndrome #Syncope #Cardiology
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
Hypotensive Patient - Differential ... tachycardia • Atrial ... • Pericardial tamponade ... rupture • Acute mitral ... regurgitation • Aortic stenosis
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... vegetations)/tumor (left atrial ... myxoma)/ball valve thrombus ... #diagnosis #differential ... #cardiology
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Heart Disease - Mitral ... (4) All 4 cardiac ... (7) patient in atrial ... #clinical #cardiology ... #a4c #thrombus
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Angiography or Cardiac ... Minor: • < 25% stenosis ... non-culprit vessels • Atrial ... Embolism #diagnosis #differential ... scoring #criteria #cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Abnormalities - Differential ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD ... Cardiomyopathy Aortic Stenosis ... Abnormalities #Disorders #Cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Cardiac: • Valvular ... wide-complex tachycardia: bundle ... Moderate or severe mitral ... stenosis • Mechanical ... diagnosis #management #cardiology