14 results
Severe Left Atrial Enlargement on Echocardiogram
Have you ever seen a left atrium this big!?!? 
LA diameter
Severe Left Atrial ... Echocardiogram Have you ever ... seen a left atrium ... #Severe #Cardiology ... Clinical #POCUS #A4C
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs - Differential ... Diagnosis Algorithm ... Systolic #Murmurs #Cardiology ... #Differential # ... Diagnosis #Algorithm
Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
 • Leaflet: Rheumatic fever, Infective
, Infective endocarditis ... , Infective endocarditis ... muscle rupture, Left ... Regurgitation #differential ... #diagnosis #cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Diagnosis Algorithm ... alternate beats: • Left ... • Restrictive Cardiomyopathy ... Abnormalities #Disorders ... #Cardiology #Differential
Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
 - Structural
Diagnosis Algorithm ... disease • Cardiomyopathy ... Anemia • Fever ... Generalized Anxiety Disorder ... #Arrhythmias #Cardiology
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Restrictive Cardiomyopathy ... Descents, Rales,+S4 ... Sarcomeric Protein Disorders ... Diagnosis #Causes #differential ... #cardiology #algorithm
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Heart Failure - Differential ... Diagnosis Algorithm ... Causes - Rule out Left-Sided ... • Restrictive Cardiomyopathy ... #HeartFailure #Cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... risk factors: cardiomyopathy ... cardiac surgery, endocarditis ... Embolism #diagnosis #differential ... scoring #criteria #cardiology
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
Tricuspid Valve Endocarditis ... presents with fever ... findings with left-sided ... Echocardiogram #clinical #cardiology ... #s4c
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... night sweats, fever ... Marantic (NTBE) Differential ... • Left sided > Right ... diagnosis #management #cardiology