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cardiology diagnosis differential clinical echocardiogram management pocus contrast endocarditis 1: afib avr coronary dilated doubleshunt ecg effect ekg electrocardiogram embolism
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... Paradoxical: Right to Left ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Small secundum ASD ... or PFO with left ... to right shunt 2. ... Effect #Right #Atrium
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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
Atrial Fibrillation ... risk factors Atrial ... left atria, the ... atrial thrombus ... atrial occlusion
Giant dilated left atrium on Echocardiogram (a4c) It belongs to a 92-year old lady with a history
atrium on Echocardiogram ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram ... #clinical #cardiology
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 Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
indicative of left ... main coronary artery ... death. 2. ... Subepicardial atrial ... : AVNRT, AVRT, atrial
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... >LAP as atrial septum ... shifts left ... stretched PFO or ASD ... , and later (after
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 Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... Microbubbles appear in left ... right atrial passage ... gas (ABC) analysis ... HPS Diagnostic Criteria
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 ... than 5 to 7 days after ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... → TEE • Duke Criteria ... than 5 to 7 days after ... Differential #Diagnosis #cardiology
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