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cardiology clinical diagnosis echocardiogram differential ekg electrocardiogram infective abscess aflutter cancer carcinoma cardiac cardiomyopathy children complex counterclockwise effusion flutter hcm
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Flutter on EKG ... up, slow down; "negative ... • V1: Broad & negative ... Flutter #aflutter #ecg ... clinical #diagnosis #comparison
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
cultures/serology: Serial ... negative blood ... Frequent false-negative ... cultures/serology: + (Negative ... #comparison #infective
Atrial Myxoma on POCUS Echocardiogram (PLAX) Adolescent patient presents with chest pain and dyspnea. Beside TTE found
POCUS Echocardiogram ... (PLAX) Adolescent ... the lab work, EKG ... #Myxoma #POCUS ... Echocardiogram #PLAX
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 What's the Dx? • 29-year-old male • Transfer community hospital • Hypotension • Renal failure • Altered mental status.
Using IV heroin • Negative ... vegetation secondary to endocarditis ... #Clinical #POCUS ... Echocardiogram #PLAX ... #Infective #Endocarditis
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Endocarditis Summary ... Libman Sacks) • Atrial ... • Coagulase-negative ... ↑ ESR, CRP • EKG ... #Endocarditis
Malignant RV Mass on POCUS Echocardiogram (PLAX) 57yo M with chest pain. Normal work up including
Echocardiogram (PLAX ... work up including negative ... ECG, CXR & trop ... POCUS done prior ... clinical #cardiology #PLAX
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Endocarditis - Overview ... Libman Sacks) • Atrial ... aureus, Coagulase-negative ... staphylococci Culture Negative ... ↑ ESR, CRP • EKG
Point of Care Ultrasound - Probe Movements SWEEPING: Here we slide the probe along a slug trail of
probe along a slug trail ... to view it in LAX ... COMPRESSION: E.g ... Motion #Ultrasound #POCUS
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia: Belong to a group
Multifocal Atrial ... dominant pacemaker focus ... diagnosis #cardiology #ekg ... #ecg #electrocardiogram ... #comparison
Septal Hypertrophic Cardiomyopathy (HOCM) 52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) EM resident
EKG nonspecific, ... Serial trops (- ... echocardiogram #plax ... #cardiology #pocus
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