9 results
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
histology of a vegetation ... : • 2 major clinical ... 1 major and 3 minor ... major and 1 minor ... febrilepodcast] #Duke
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(Vegetation, Thrombus ... , PFO, ASD, h/o ... cardiac surgery, endocarditis ... Criteria) OR (2 ... Embolism #diagnosis #differential
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
and Management ... Criteria (2 Major ... OR 1 Major & 3 ... bacteria, ECHO w/ vegetation ... #criteria
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... Suspicion -> TEE • Duke ... Criteria • ↑ ESR ... -mm left sided vegetations
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... echocardiogram #s4c ... #pocus #bubble
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... Paradoxical emboli via ASD ... Suspicion → TEE • Duke ... Criteria • ↑ ESR ... #Endocarditis #Differential
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Echocardiogram (a4c ... Mitral valve doesn ... sinus rhythm... 1. ... ASD with R/L shunting ... #left #atrium #a4c
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... , first likely due ... stretched PFO or ASD ... clinical #pocus #a4c
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
sx will not be subtle ... or sed rate): Value ... very remarkable w/differential ... due to skip lesions ... mg per day or 1