14 results
Causes of Ischemic Stroke - Differential Diagnosis Framework
Important to determine and treat the etiology behind because
Ischemic Stroke - Differential ... • Arrhythmias: Afib ... * • Valvular: Mitral ... Prosthetic valve • Endocarditis ... Structural: myxoma, thrombus
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... abberancy - N B Afib ... bradyarrhythmia #ECG ... electrocardiogram #cardiology ... #differential
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
(< 5% pts with afibb ... thrombus • Digoxin ... Moderate or severe mitral ... #Fibrillation #AFib ... diagnosis #management #cardiology
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
fever, Infective endocarditis ... fever, Infective endocarditis ... Ring fracture, Thrombus ... Regurgitation #differential ... #diagnosis #cardiology
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
disease Infective endocarditis ... vegetations)/tumor (left atrial ... myxoma)/ball valve thrombus ... Causes #diagnosis #differential ... #cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
, LAA Thrombus), ... non-culprit vessels • Atrial ... cardiac surgery, endocarditis ... Embolism #diagnosis #differential ... scoring #criteria #cardiology
Large Mobile Left Atrial Thrombus on Transesophageal Echocardiogram

Female, 78 yo. HT & DM2. Admitted for severe
Large Mobile Left Atrial ... ECG: AF. ... No mitral stenosis.Simultaneous ... @odremanr #Atrial ... Transesophageal #Ultrasound #Cardiology
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Pulse Pressure - Differential ... • Infective Endocarditis ... • Mitral Regurgitation ... • Mitral Stenosis ... Pathophysiology #causes #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... /Afib/WPW) • Loss ... #Palpitations #Cardiology ... #Differential #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology