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cardiology diagnosis clinical echocardiogram pocus atrium contrast 2 artery coronary criteria dilated doubleshunt effect embolism infectiousdiseases intrapulmonary lupus management negative
Giant dilated left atrium on Echocardiogram (a4c) It belongs to a 92-year old lady with a history
Giant dilated left ... Echocardiogram (a4c ... Mitral valve doesn ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram
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 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
• Prosthetic valve ... formation • Other vegetations ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... 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
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 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 ... sided vegetations ... #Endocarditis #Differential
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:
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... shifts left ... stretched PFO or ASD ... clinical #pocus #a4c
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