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cardiology clinical diagnosis echocardiogram atrium contrast differential endocarditis 1: doubleshunt effect giant infectiousdiseases intrapulmonary management negative ra right s4c saline
Giant dilated left atrium on Echocardiogram (a4c) It belongs to a 92-year old lady with a history
Giant dilated left ... idiopathic. 2. ... ASD with R/L shunting ... #left #atrium # ... #pocus
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... lesions • Mycotic aneurysm ... via ASD • Metastatic ... ↑ ESR, CRP • EKG
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Small secundum ASD ... or PFO with left ... to right shunt 2. ... echocardiogram #s4c ... #pocus #bubble
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... lesions • Mycotic aneurysm ... via ASD • Metastatic ... ↑ ESR, CRP • EKG
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 ... In addition to dilated ... stretched PFO or ASD
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