17 results
pocus echocardiogram management ecg electrocardiogram marantic mcconnells differential nbte noninfective pericarditis pulmonary abdominalus avnrt awaves cardiomyopathy checklist clotintransit cns comparison
Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
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 Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... high index of clinical ... is required for diagnosis ... heart valves • MRI ... often seen • MRI
Wellens' Sign: LAD-T Wave Inversion Life threatening T wave inversions in precordial leads. Often V2-V3 Specific
Wellens' Sign: LAD-T ... Specific for critical ... anterior wall MI ... #Wellens #Sign # ... #Diagnosis #Cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Blood cultures are positive ... Differential Diagnosis ... Diagnosis? ... ↑ ESR, CRP • EKG ... #cardiology
Cannon A waves during AVNRT on Physical Exam In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... that’s called “clinical ... PhysicalExam #JVP #Cardiology ... #Neck #Frog #Sign
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 Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... Persistent fever, positive ... with multiple embolic ... Internet Book of Critical ... #criticalcare #diagnosis
Pericarditis on EKG Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... Normalization Spodick's sign ... seen in acute MI ... #cardiology #diagnosis ... #clinical
Non-Infective Endocarditis (NBTE / Marantic Endocarditis) Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
and likely to embolize ... • Cannot differentiate ... pathognomonic signs ... high index of clinical ... is required for diagnosis
McConnell's Sign on POCUS Echocardiogram (A4C) A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
McConnell's Sign ... Diagnosis concerning ... for Pulmonary Embolism ... #clinical #ultrasound ... #cardiology
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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 ... Blood cultures are positive ... cases Culture Positive ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases
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