15 results
Coronary Ostium Obstruction by Aortic Intimal Flap on Echocardiogram
Aortic intimal flap may alternately obstruct right and
elevations in different ECG ... Flap #dissection #a4c ... #plax #Echocardiogram ... #clinical #cardiology ... #pocus
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... Triage EKG (no prior ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Diagnosis Framework ... • Malignancy (e.g ... infarction • Aortic ... OTHER RARE CAUSES ... #Diagnosis #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... ., aortic insufficiency ... regurgitation • Severe aortic ... #Differential #
Intracardiac Rhabdomyomas on Echocardiogram

Huge cardiac masses...initially diagnosed in utero, mass just beneath the aortic valve Anguished
Huge cardiac masses ... ...initially diagnosed ... just beneath the aortic ... Echocardiogram #clinical #cardiology ... #pocus #plax
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... are enough to diagnose ... excludes other differentials ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... Septic Emboli Cause ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Treat underlying cause
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... Differential/diagnosis ... See thread for POCUS ... seen in 34% of cases ... #clinical #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework ... Post-cardioversion • Acute aortic ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
risk (>5%): - Aortic ... - Cataract Plan ... one post op Cardiology ... Severe Aortic stenosis ... stratification #diagnosis