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cardiology diagnosis differential clinical echocardiogram a4c effect endocarditis 1: atrial atrium defect doubleshunt ecg effusion electrocardiogram elevation hemopericardium hemorrhagic infectiousdiseases
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... shunt 2. ... echocardiogram #s4c #pocus ... #bubble
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 Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... saline) in the right ... patient with an ASD ... #washout #ASD # ... #pocus
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 Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
study, in a patient ... pulmonary hypertension ... Early transit of bubbles ... stretched PFO or ASD ... Echocardiogram #clinical #pocus
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 Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
• Malignancy (e.g ... uncommon - 1 to 2% ... patients with pulmonary ... may have false negative ... Might likely have
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
QRS complex - Right ... QRS complex Pulmonary ... or in-complete right ... elevation seen > 2 ... #ecg #ekg #electrocardiogram
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Coagulase-negative ... Cerebral > Splenic, pulmonary ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... • Left sided > Right
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
aureus, Coagulase-negative ... Cerebral > Splenic, Pulmonary ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... • Left sided > Right
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