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

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Glomerulonephritis Septic ... Marantic (NTBE) Differential ... via ASD • Metastatic ... Suspicion -> TEE • Duke ... -mm left sided vegetations
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... Septic emboli ... Suspicion → TEE • Duke ... -mm left sided vegetations ... #Endocarditis #Differential
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
asymptomatic to septic ... emboli, Janeway ... Criteria (2 Major ... OR 1 Major & 3 ... bacteria, ECHO w/ vegetation
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
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Stages: 1. ... tissue perfusion 2. ... 66% of shock) • Septic ... ascending aorta into valve ... massive pulmonary embolism
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... >LAP as atrial septum ... , first likely due ... clinical #pocus #a4c