14 results
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs ... Algorithm Benign ... • Rheumatic Heart ... #Cardiology #Differential ... #Diagnosis #Algorithm
Aortic and Mitral Valve Vegetations in Endocarditis on POCUS - PLAX

Why would this 30 y/o male
stethoscope would hear ... a murmur... but ... mitral valves and pulmonary ... #POCUS #PLAX #clinical ... #cardiology
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Maneuvers An algorithm ... regurgitation; PS, pulmonary ... #Maneuvers #Heart ... #Cardiology #PhysicalExam ... #Diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• New cardiac murmur ... Cerebral > Splenic, pulmonary ... Differential Diagnosis ... Diagnosis? ... #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
w/ septic pulmonary ... fistula causing heart ... telemetry for heart ... Josh Farkas @PulmCrit ... #criticalcare #diagnosis
Parasternal Short Axis (PSAX) at the level of the Aortic Valve

Phased array transducer; parasternal short axis/indicator
acuity of right heart ... strain (pulmonary ... echocardiogram #clinical ... #cardiology #POCUS ... #labeled #anatomy
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
and Causes Clinical ... +S4, MR and TR Murmurs ... Endomyocardial: Carcinoid Heart ... #differential #cardiology ... #algorithm
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... • New cardiac murmur ... Cerebral > Splenic, Pulmonary ... #Differential #Diagnosis ... #cardiology #infectiousdiseases
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... Cardiogenic pulmonary ... alveoli, enlarged heart ... demarcated secondary lobeles ... #Clinical #Radiology
McConnell's Sign on POCUS Echocardiogram - PSAX
Positive McConnell's Sign (hypokinetic RV with apical sparing) indicates acute
McConnell's Sign on POCUS ... indicates acute right heart ... highly specific for pulmonary ... Echocardiogram #PSAX #clinical ... #cardiology #labeled