9 results
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 ... cardiac surgery, endocarditis ... Artery #Embolism #diagnosis
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
includes: stage 1 ... leads especially left ... leads indicates atrial ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology
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 ... Diagnosis? ... • Left sided > Right ... #cardiology
This is a parasternal long axis view of a young patient presenting with 3 days of
the OR in under 1 ... left atrium should ... Michael Macias, EM ... University #Clinical #EM ... #Radiology #POCUS
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
1. ... Small secundum ASD ... or PFO with left ... #cardiology #clinical ... echocardiogram #s4c #pocus
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Giant dilated left ... sinus rhythm... 1. ... ASD with R/L shunting ... #clinical #cardiology ... #pocus
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Diagnosis Framework ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... • Left sided > Right ... #cardiology #infectiousdiseases
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
>LAP as atrial septum ... shifts left ... stretched PFO or ASD ... Echocardiogram #clinical #pocus ... intrapulmonary #cardiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... This post will focus ... /50 Rule (part 1) ... second ribs.1