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cardiology diagnosis clinical echocardiogram management effect endocarditis negative 1: afib artery bubble coronary criteria doubleshunt embolism fibrillation hepatology hepatopulmonary infectiousdiseases
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
saline) in the right ... atrium in a patient ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram ... clinical #cardiology #pocus
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 Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right ... Atrium - Differential ... shunt 2. ... #Effect #Right ... #Atrium #RA #Differential
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 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 ... and left atria, ... of the right and ... identify left atrial
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... left heart 3-6 cardiac ... cycles after right ... atrial passage ... gas (ABC) analysis
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Etiology: • Direct ... • Paradoxical: Right ... Venous System/Right ... non-culprit vessels • Atrial ... Embolism #diagnosis #differential
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram (1) Thickened and fibrosed MV leaflets - rheumatic etiology
(2) Lvef 25-30% ... (4) All 4 cardiac ... spontaneous echo contrast ... (7) patient in atrial ... clinical #cardiology #a4c
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
mitral regurgitation ... Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... • Left sided > Right ... Abscess, destructive penetrating
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
bubbles = PFO 2. ... >LAP as atrial septum ... PVeins (extra-cardiac ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
mitral regurgitation ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... • Left sided > Right ... Abscess, destructive penetrating
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