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cardiology differential management clinical contrast echocardiogram endocarditis 1: a4c afib artery atrium doubleshunt effect embolism fibrillation heartfailure hfref infectiousdiseases intrapulmonary
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
• Paradoxical: Right ... Venous System/Right ... non-culprit vessels • Atrial ... Artery #Embolism #diagnosis ... #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Small secundum ASD ... shunt 2. ... #Diagnosis #cardiology ... echocardiogram #s4c #pocus ... #bubble
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 Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Cardiac: • Valvular ... wide-complex tachycardia: bundle ... cardioversion 2. ... Fibrillation #AFib #diagnosis ... #management #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
ankle swelling. 2. ... → no signs of CXR ... congestion. 2. ... Consider cardiac ... Electrocardiogram, Consider right
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
Early transit of bubbles ... = PFO 2. ... as RAP>LAP as atrial ... PVeins (extra-cardiac ... Echocardiogram #clinical #pocus
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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 ... • Left sided > Right
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