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cardiology diagnosis clinical contrast echocardiogram pocus artery atrium coronary doubleshunt effect embolism infectiousdiseases intrapulmonary management ra right saline scoring summary
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
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
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Coagulase-negative ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... Suspicion -> TEE • Duke ... Criteria • ↑ ESR
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 - 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
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
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