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cardiology clinical differential pocus atrium contrast management 1: artery bubble coronary criteria doubleshunt effect embolism giant hepatology hypertension infectiousdiseases intrapulmonary
Giant dilated left atrium on Echocardiogram (a4c) It belongs to a 92-year old lady with a history
Giant dilated left ... atrium on Echocardiogram ... ASD with R/L shunting ... #left #atrium # ... a4c #Echocardiogram
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 Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... Angiography or Cardiac ... , h/o of cardiac ... surgery, endocarditis ... Artery #Embolism #diagnosis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... : • New cardiac ... Paradoxical emboli via ASD ... Diagnosis? ... Substance use: R > L Tricuspid
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. ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
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 Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
as RAP>LAP as atrial ... septum shifts left ... In addition to dilated ... PVeins (extra-cardiac ... clinical #pocus #a4c
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 Portopulmonary Hypertension Presence of pulmonary arterial hypertension in a patient with portal hypertension No other obvious causes (chronic
lung disease, left ... Transthoracic echocardiogram ... PPHTN • Peak tricuspid ... ventricular size, Right atrial ... ventricular septum 2)
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram (1) Thickened and fibrosed MV leaflets - rheumatic etiology
(2) Lvef 25-30% ... (4) All 4 cardiac ... chambers dilated ... (7) patient in atrial ... clinical #cardiology #a4c
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential Diagnosis ... Libman Sacks) • Atrial ... : • New cardiac ... Paradoxical emboli via ASD ... substance use: R > L Tricuspid
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