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cardiology diagnosis clinical differential echocardiogram pocus contrast endocarditis management 1: afib coronary dilated doubleshunt effect embolism fibrillation giant infectiousdiseases intrapulmonary
Giant dilated left atrium on Echocardiogram (a4c) It belongs to a 92-year old lady with a history
atrium on Echocardiogram ... Mitral valve doesn ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram
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 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
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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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
mitral regurgitation ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... -> TEE • Duke Criteria ... than 5 to 7 days after
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
mitral regurgitation ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... → TEE • Duke Criteria ... than 5 to 7 days after
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