13 results
Causes of Diastolic Murmurs - Differential Diagnosis Algorithm
Early Diastolic:
 • Aortic Regurgitation
 • Pulmonary Regurgitation (Graham-Steell
Causes of Diastolic ... Mid-Diastolic: • Mitral ... StenosisSevere ... Diastolic: • Mitral ... Diastolic #Murmurs #Cardiology
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... shortened chordae Severe ... myxoma)/ball valve thrombus ... #stenosis #Causes ... #differential #cardiology
CHF - Left-Sided Heart Failure - Differential Diagnosis Algorithm

Valvular Disease (Preserved Diastolic/Systolic Function)
 • Mitral Stenosis
StenosisMitral ... • Uncontrolled Severe ... (Severe) Impaired ... #HeartFailure #Cardiology ... Diagnosis #Algorithm #causes
Severe Mitral Stenosis on Transesophageal Echocardiogram
Spontaneous contrast 'smoke' in the left atrium
AF + stasis = huge
Severe Mitral Stenosis ... = huge risk of thrombus ... @MedCrisis #Mitral ... #Stenosis #TEE ... Echocardiogram #Clinical #Cardiology
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Heart Disease - Mitral ... etiology - with severe ... significant TR with severe ... #clinical #cardiology ... #a4c #thrombus
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
conditions) • Severe ... Endocarditis • Mitral ... Regurgitation • Mitral ... • Tricuspid Stenosis ... #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
insufficiency, stenosis ... ) • Severe mitral ... regurgitation • Severe ... dizziness: Possible severe ... heart disease • Severe
Isolated cleft in the posterior mitral valve leaflet can be a cause of unexplained mitral regurgitation
the posterior mitral ... leaflet can be a cause ... (from trace to severe ... Echocardiogram #clinical #cardiology ... #pocus #doppler
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
identify left atrial thrombus ... TEE to exclude thrombus ... • Moderate or severe ... mitral stenosis ... diagnosis #management #cardiology
Apical 2-Chamber (A2C) Window on POCUS Echocardiogram

Helpful to distinguish anterior and inferior regional wall motion abnormalities.
A2C) Window on POCUS ... In this case, severely ... EF -> visible mural ... thrombus (star) ... clinical #anatomy #cardiology