7 results
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... #Diagnosis #cardiology ... echocardiogram #s4c ... #pocus #bubble
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... Fibroelastoma), Mass (Myxoma ... non-culprit vessels • Atrial ... cardiac surgery, endocarditis ... #Embolism #diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... • Coagulase-negative ... than 5 to 7 days after ... #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
RA/PCWP>0.54 ... correlate in the SHOCK trial ... Ahmed Ghoneem, MD MSc ... #catheter #diagnosis ... #cardiology #swanganz
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... aureus, Coagulase-negative ... staphylococci Culture Negative ... 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 ... other) causing ⬆️ RA ... as RAP>LAP as atrial ... , and later (after ... clinical #pocus #a4c
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Arthritis Differential Diagnosis ... • Bacterial endocarditis ... aureus • Gram-negative ... Symmetrical: • RA ... #MSK #rheumatology