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differential clinical echocardiogram a4c contrast ekg endocarditis management 1: afib artery avr bubble coronary dilated doubleshunt ecg ecgeducator effect electrocardiogram
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... Artery #Embolism #diagnosis ... #cardiology
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Atrial Fibrillation ... risk factors Atrial ... atria, the size ... atrial thrombus ... atrial occlusion
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
leads especially left ... leads indicates atrial ... injury. stage 2 ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right Atrium ... or PFO with left ... to right shunt 2. ... Effect #Right #Atrium ... #cardiology #clinical
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 Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
indicative of left ... failure, and death. 2. ... Subepicardial atrial ... : AVNRT, AVRT, atrial ... #differential #cardiology
Giant dilated left atrium on Echocardiogram (a4c) It belongs to a 92-year old lady with a history
atrium on Echocardiogram ... aneurysm idiopathic. 2. ... #atrium #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... -> TEE • Duke Criteria ... • Left sided > Right ... #management #cardiology
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
as RAP>LAP as atrial ... septum shifts left ... stretched PFO or ASD ... Echocardiogram #clinical #pocus ... intrapulmonary #cardiology
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential Diagnosis ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... → TEE • Duke Criteria ... #cardiology #infectiousdiseases
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