8 results
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(Vegetation, Thrombus ... Paradoxical: Right to Left ... , PFO, ASD, h/o ... cardiac surgery, endocarditis ... Embolism #diagnosis #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
formation • Other vegetations ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... -> TEE • Duke Criteria ... sided vegetations
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 ... 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 ... → TEE • Duke Criteria ... sided vegetations ... #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 ... #atrium #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 thrombus ... Causes #diagnosis #differential
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... shifts left ... stretched PFO or ASD ... , and later (after ... clinical #pocus #a4c
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... • Libman-Sacks endocarditis ... /LAC: • Renal artery ... Cytopenias • Cardiac valve ... vegetations APLA