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diagnosis differential causes clinical echocardiogram management stenosis 1: afib coronary criteria doubleshunt embolism fibrillation infarction infectiousdiseases intrapulmonary pocus renal rheumatic
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Fibroelastoma), Mass (Myxoma ... Paradoxical: Right to Left ... non-culprit vessels • Atrial ... cardiac surgery, endocarditis ... scoring #criteria #cardiology
Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
disease Infective endocarditis ... vegetations)/tumor (left ... atrial myxoma)/ ... ball valve thrombus ... #differential #cardiology
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Atrial Fibrillation ... risk factors Atrial ... atria, the size ... atrial thrombus ... atrial occlusion
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram (1) Thickened and fibrosed MV leaflets - rheumatic etiology
(2) Lvef 25-30% ... spontaneous echo contrast ... (7) patient in atrial ... Echocardiogram #clinical #cardiology ... #a4c #thrombus
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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 ... myxoma • Hypercoagulable ... than 5 to 7 days after ... diagnosis #management #cardiology
Causes of Renal Infarction - Differential Diagnosis Thrombosis: Spontaneous • Atherosclerotic disease of aorta and renal artery
Cardiac source: Atrial ... , Marantic endocarditis ... infarction with mural ... thrombi: Left atrial ... myxoma or other
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
as RAP>LAP as atrial ... septum shifts left ... ASD, and later (after ... clinical #pocus #a4c ... intrapulmonary #cardiology
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
involves aortic and mitral ... Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... than 5 to 7 days after ... Differential #Diagnosis #cardiology
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