11 results
diagnosis cardiology differential causes fibrillation endocarditis management stroke a4c active activetb classification clinical cva definition echocardiogram functional ischemic latent latenttb
Valvular vs Non-Valvular Atrial Fibrillation - Classification Valvular: • Presence of moderate-to-severe mitral stenosis or artificial (mechanical)
vs Non-Valvular Atrial ... moderate-to-severe mitral ... mechanical) heart valve ... mechanical heart valve ... #Fibrillation #AFib
Atrial Fibrillation on POCUS Echocardiogram (A4C) 35yoF presents with acute onset atrial fibrillation. POCUS shows dilated
Atrial Fibrillation ... with acute onset atrial ... shows dilated left atrium ... & poor mitral valve ... #Fibrillation #AFib
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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
(A-Fib) Summary ... control with early Afib ... Moderate or severe mitral ... Mechanical heart valve ... #Fibrillation #AFib
Causes of Ischemic Stroke - Differential Diagnosis Framework Important to determine and treat the etiology behind because
• Arrhythmias: Afib ... * • Valvular: Mitral ... stenosis, Prosthetic valve ... Non-atherosclerotic: Arterial
Stroke Etiologies Hemorrhagic (IPH, SAH) Ischemic - Large Vessel Atherosclerosis - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Cardioembolic: Atrial ... fib, prosthetic ... valves, LV aneurysm ... embolism, Occult a-fib
Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... chordae Severe mitral ... endocarditis (vegetations ... )/tumor (left atrial ... myxoma)/ball valve
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
heart failure • Mitral ... valve prolapse ... stenosis) • Severe mitral ... brain flow (VT/Vfib ... /Afib/WPW) • Loss
Causes of Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
and Functional Mitral ... Causes of primary mitral ... Vegetations seen ... plane into left atrium ... valve - Secondary
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Prosthetic valve ... Involves aortic and mitral ... Libman Sacks) • Atrial ... formation • Other vegetations ... -mm left sided vegetations
Tuberculosis Testing LATENT TB • LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
infection • Recent viral ... ACTIVE TB AFB ... the organism if AFB ... positive predictive value ... LatentTB #ActiveTB #InfectiousDiseases
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