6 results
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Fibroelastoma), Mass ... Angiography or Cardiac ... PFO, ASD, h/o of cardiac ... #diagnosis #differential ... #cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Obstructive: Pulmonary Embolism ... Pneumothorax, Cardiac ... Blood Loss, GI Losses ... algorithm #treatment #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
positive in 90% of IE cases ... : • New cardiac ... Marantic (NTBE) Differential ... Endocarditis #diagnosis #management ... #cardiology
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Cardiac LV Thrombus ... Echocardiogram (A4C ... the pedunculated mass ... the context of embolism ... #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... • Pulmonary embolus ... LVEDd > 6.0 cm, LV thrombus ... #cardiology #treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Assess functional ... exam Determine Cardiac ... one post op Cardiology ... postoperative cardiac ... medical and surgical management