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differential management clinical echocardiogram endocarditis 1: a4c afib artery atrium bubble comparison contusion coronary ctchest doubleshunt ecg effect ekg electrocardiogram
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... , TEE, CT or MRI ... 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
and left atria, ... atrial thrombus ... cardioversion 2. ... weeks before or TEE ... #management #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Small secundum ASD ... or PFO with left ... to right shunt 2. ... #cardiology #clinical ... echocardiogram #s4c #pocus
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 Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... , 88% spec • Contrast-enhanced ... Microbubbles appear in left ... Criteria: • Underlying ... Positive findings on contrast-enhanced
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 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 ... ↑ Suspicion -> TEE ... • Duke Criteria ... #management #cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia: Belong to a group
criteria for the ... diagnosis of MAA ... dominant pacemaker focus ... rhythm, in sharp contrast ... #cardiology #ekg
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 ... • Duke Criteria ... #cardiology #infectiousdiseases
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... on the upper left ... Several of the diagnoses ... /50 Rule (part 2)
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