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diagnosis cardiology clinical echocardiogram pocus contrast criteria infective artery atrium comparison coronary doubleshunt duke effect infectiousdiseases intrapulmonary management marantic mitralvalve
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
cultures/serology: Serial ... negative blood ... results: vegetation ... , Vegetations often ... small (<1 cm),
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
• Coagulase-negative ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... via ASD • Metastatic ... -mm left sided vegetations
What's the Dx? • 29-year-old male • Transfer community hospital • Hypotension • Renal failure • Altered mental status.
failure • Altered mental ... Using IV heroin • Negative ... Clips 1 and 2 demonstrate ... consistent with a vegetation ... secondary to endocarditis
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential ... aureus, Coagulase-negative ... Septic emboli ... -mm left sided vegetations ... #Endocarditis #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 - Diagnosis and Management Summary What is it? Inflammation of endocardium, typically secondary to infection of
asymptomatic to septic ... emboli, Janeway ... Duke Criteria (2 ... Major OR 1 Major ... bacteria, ECHO w/ vegetation
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... = PFO 2. ... >LAP as atrial septum ... clinical #pocus #a4c
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