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cardiology management differential atrial clinical echocardiogram endocarditis pocus 1: 2 a4c afib causes chronic doubleshunt effect infectiousdiseases intrapulmonary mitralvalve mitralvalveregurgitation
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Atrial Fibrillation ... light-headedness, dizziness, dyspnea ... Decompensated HF ... Noncardiac: • Pulmonary ... #Algorithm
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic Dyspnea ... - Differential Diagnosis ... Arrhythmia • Atrial ... Fibrillation ... Interstitium • ILD • CHF
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... fibrillation or ... disease or CHF) ... #algorithm
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... Small secundum ASD ... #cardiology #clinical ... echocardiogram #s4c #pocus #bubble
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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 ... light-headedness, dizziness, dyspnea ... Decompensated HF ... Noncardiac: • Pulmonary ... AFib #diagnosis
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
on this saline contrast ... liver disease and pulmonary ... Early transit of bubbles ... as RAP>LAP as atrial ... stretched PFO or ASD
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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 ... Heart Failure • Dyspnea ... Cerebral > Splenic, pulmonary ... Paradoxical emboli via ASD ... #management #cardiology
Mitral valve regurgitation is the heart’s version of a plot twist — just when you think
into the left atrium ... fibrillation auditions ... symptoms — fatigue, dyspnea ... that glorious pulmonary ... Diagnosis by echocardiography
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential Diagnosis ... Libman Sacks) • Atrial ... heart failure • Dyspnea ... Cerebral > Splenic, Pulmonary ... Paradoxical emboli via ASD
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