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cardiology clinical management pocus atrium contrast differential endocarditis 1: afib dilated doubleshunt effect fibrillation giant hepatology hypertension infectiousdiseases intrapulmonary negative
Giant dilated left atrium on Echocardiogram (a4c) It belongs to a 92-year old lady with a history
atrium on Echocardiogram ... (a4c) It belongs ... Mitral valve doesn ... aneurysm idiopathic. 2. ... #atrium #a4c #Echocardiogram
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 Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Small secundum ASD ... or PFO with left ... to right shunt 2. ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
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 Portopulmonary Hypertension Presence of pulmonary arterial hypertension in a patient with portal hypertension No other obvious causes (chronic
lung disease, left ... Transthoracic echocardiogram ... artery pressure via tricuspid ... PPHTN • Peak tricuspid ... ventricular septum 2)
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... Early transit of bubbles ... as RAP>LAP as atrial ... septum shifts left ... clinical #pocus #a4c
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 Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Noncardiac: • Pulmonary ... wide-complex tachycardia: bundle ... cardioversion 2. ... Moderate or severe mitral ... Fibrillation #AFib #diagnosis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Involves aortic and mitral ... Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Paradoxical emboli via ASD ... Substance use: R > L Tricuspid
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
involves aortic and mitral ... Libman Sacks) • Atrial ... Cerebral > Splenic, Pulmonary ... Paradoxical emboli via ASD ... substance use: R > L Tricuspid
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