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cardiology diagnosis clinical echocardiogram contrast ekg endocarditis hepatopulmonary management pocus syndrome 1: atrium avr coronary criteria doubleshunt effect elevation embolism
Hepatopulmonary Syndrome on Echocardiogram (A4C) Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
visualized in the left ... atrium within 3 ... noted in the right ... #bubble #shunting ... #hepatology #clinical
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 Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Atrium - Differential ... or PFO with left ... 2. ... #Atrium #RA #Differential ... #pocus #bubble
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 Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... to Left from Venous ... System/Right Heart ... non-culprit vessels • Atrial ... Embolism #diagnosis #differential
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
indicative of left ... main coronary artery ... (LMCA). left anterior ... failure, and death. 2. ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... elevation seen > 2 ... • Epicardial artery ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
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 ... management #treatment #hepatology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... • Left sided > Right ... than 5 to 7 days after
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... as RAP>LAP as atrial ... septum shifts left ... , and later (after ... clinical #pocus #a4c
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
- Overview and Differential ... Libman Sacks) • Atrial ... ↑ ESR, CRP • EKG ... • Left sided > Right ... #Endocarditis #Differential
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