11 results
cardiology differential causes echocardiogram endocarditis a4c cardiac fibrillation marantic artery comparison coronary criteria cva embolism functional infective ischemic nbte noninfective
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Direct: Clot (LV ... ), Valve (Vegetation ... embolization Wlo LV ... non-culprit vessels • Atrial ... Artery #Embolism #diagnosis
Atrial Fibrillation on POCUS Echocardiogram (A4C) 35yoF presents with acute onset atrial fibrillation. POCUS shows dilated
Atrial Fibrillation ... & poor mitral valve ... jet seen from LV ... #Fibrillation #AFib ... Echocardiogram #A4C #clinical
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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 ... Mechanical heart valve ... #Fibrillation #AFib ... #diagnosis #management
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
demonstration of platelet thrombi ... high index of clinical ... cultures/serology: Serial ... false-negative results: vegetation ... already embolised, Vegetations
Causes of Ischemic Stroke - Differential Diagnosis Framework Important to determine and treat the etiology behind because
- Differential Diagnosis ... • Arrhythmias: Afib ... * • Valvular: Mitral ... stenosis, Prosthetic valve ... Structural: myxoma, thrombus
Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
endocarditis (vegetations ... )/tumor (left atrial ... myxoma)/ball valve ... thrombus - When ... stenosis #Causes #diagnosis
Causes of Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
Vegetations seen ... plane into left atrium ... valve - Secondary ... produced by LV ... #Differential #Diagnosis
Marantic Endocarditis Epidemiology: - Incidence of non-bacterial thrombotic endocarditis (marantic endocarditis if associated with cancer) is
cardiac valvular vegetations ... Clinical Findings ... irregularly shaped vegetations ... on mitral and aortic ... Vegetations mostly
Cardiac LV Thrombus on Echocardiogram Short-Axis View (PSAX) 48 year old woman in ICU for acute ischemic
Cardiac LV Thrombus ... considered (principally vegetation ... are not POCUS: serial ... are all of some value ... #PSAX #clinical
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 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 ... formation • Other vegetations ... -mm left sided vegetations ... #management #cardiology
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