10 results
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(Vegetation, Thrombus ... , PFO, ASD, h/o ... cardiac surgery, endocarditis ... Artery #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
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 ... -mm left sided vegetations ... #Endocarditis #diagnosis
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
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
Endocarditis - Diagnosis ... and Management ... Duke Criteria (2 ... Major OR 1 Major ... bacteria, ECHO w/ vegetation
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... Paradoxical emboli via ASD ... formation • Other vegetations ... -mm left sided vegetations ... #Endocarditis #Differential
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... = PFO 2. ... 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 ... mg per day or 1 ... slow taper over 1-
Fasciola hepatica - Liver Fluke Life Cycle - Fascioliasis 
Ruminants are the typical definitive hosts.
1) Unembroynated
definitive hosts. 1) ... passed in feces. 2) ... Sporocysts 4b) Rediae 4c ... intestinal wall, and ... LiverFluke #LifeCycle #diagnosis
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... • Libman-Sacks endocarditis ... Cytopenias • Cardiac valve ... vegetations APLA ... • ANA titers > 1: