10 results
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Cardioembolic: Atrial ... fib, prosthetic valves ... , LV aneurysm, Endocarditis ... etiologies: Carotid artery ... #causes #differential
Causes of Ischemic Stroke - Differential Diagnosis Framework
Important to determine and treat the etiology behind because
- Differential ... * • Valvular: Mitral ... stenosis, Prosthetic valve ... • Endocarditis ... Bifurcation of carotid artery
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... , PFO, ASD, h/o ... cardiac surgery, endocarditis ... #Coronary #Artery ... Embolism #diagnosis #differential
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Pulse Pressure = Stroke ... sclerosis (both heart valve ... Increased risk for stroke ... • Infective Endocarditis ... • Mitral Stenosis
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
on Echocardiogram ... (a4c) It belongs ... Mitral valve doesn ... ASD with R/L shunting ... #a4c #Echocardiogram
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
disease Infective endocarditis ... vegetations)/tumor (left atrial ... myxoma)/ball valve ... occur 10—20 years after ... Causes #diagnosis #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... than 5 to 7 days after
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... - Differential ... Small secundum ASD ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
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 ... #Endocarditis #Differential
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD ... , and later (after ... clinical #pocus #a4c