15 results
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
): • Septic joint ... • WBC >20k: Septic ... Like in this case ... • Acute = Viral ... approach #workup #differential
Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View

RCM is a disease of diastole —> severe
Though this case ... septum might look ... like asd in 4ch ... An ASD with atria ... #cardiology #a4c
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Libman Sacks) • Atrial ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Causes of Primary ... Infective/marantic endocarditis ... plane into left atrium ... of coaptation point ... #Functional #Differential
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
on Echocardiogram ... Mitral valve doesn ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #a4c #Echocardiogram
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
- Most Common Cause ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis ... Embolism #diagnosis #differential
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... Hair loss- feet and ... training 1) Pain 2) ... Poikilothermia • Septic ... #Leg #pain #differential
Ebstein Anomaly on Echocardiogram

Ebstein anomaly. The tricuspid valve is ALWAYS more apically displaced than the mitral
Ebstein Anomaly on Echocardiogram ... displaced than the mitral ... commonest congenital cause ... associated with an atrial ... #cardiology #a4c
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... peripheral vs axial ... weeks) Can Be Caused ... OLIGOARTHRITIS • 2- ... • Bacterial endocarditis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... mitral regurgitation ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... #Differential #