22 results
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis ... Major + 1 Minor ... #diagnosis #differential ... scoring #criteria #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... via ASD • Metastatic ... Diagnosis? ... ↑ ESR, CRP • EKG ... #cardiology
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
ventricle known as the bundle ... is ablation. 1 ... (Delta wave) 2 ... WolffParkinsonWhite #WPW #Cardiology ... #Clinical #Diagnosis
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
illness, Sepsis, Pulmonary ... embolism Acute ... infarction: - Type 1 ... Classification #diagnosis ... #cardiology #troponemia
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
Wide-Complex Tachycardia 1. ... yes, then VT. 2. ... Bundle-branch morphology ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: 1. ... system activity, 2. ... level <100 pg/ml EKG ... embolism • Re-expansion ... #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... Cerebral > Splenic, Pulmonary ... via ASD • Metastatic ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
1. ... Small secundum ASD ... to right shunt 2. ... #cardiology #clinical ... #pocus #bubble
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
suspicion) • +/- bubble ... - Defined if 1) ... non-lacunar CVA 2) ... No major-risk embolic ... #diagnosis #checklist