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cardiology clinical diagnosis pocus atrium artery bubble coronary criteria doubleshunt effect embolism giant infectiousdiseases infective intrapulmonary management mitralvalve negative plax
Giant dilated left atrium on Echocardiogram (a4c) It belongs to a 92-year old lady with a history
Giant dilated left ... Mitral valve doesn ... sinus rhythm... 1. ... aneurysm idiopathic. 2. ... a4c #Echocardiogram
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 What's the Dx? • 29-year-old male • Transfer community hospital • Hypotension • Renal failure • Altered mental status.
failure • Altered mental ... Clips 1 and 2 demonstrate ... a mobile mitral ... Clinical #POCUS #Echocardiogram ... PLAX #Infective #Endocarditis
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 Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Diagnosis 1. ... Small secundum ASD ... or PFO with left ... to right shunt 2. ... cardiology #clinical #echocardiogram
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Prosthetic valve ... Involves aortic and mitral ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
LAA Thrombus), Valve ... Paradoxical: Right to Left ... , PFO, ASD, h/o ... cardiac surgery, endocarditis ... Embolism #diagnosis #differential
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
1. ... >LAP as atrial septum ... shifts left ... In addition to dilated ... clinical #pocus #a4c
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 Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram (1) Thickened and fibrosed MV leaflets - rheumatic etiology
(1) Thickened ... (2) Lvef 25-30% ... cardiac chambers dilated ... spontaneous echo contrast ... clinical #cardiology #a4c
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential ... involves aortic and mitral ... Paradoxical emboli via ASD ... tumor embolism Septic ... #Endocarditis #Differential
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