18 results
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
velocity of 9.5 cm/sec ... expiration not meeting diagnostic ... a diastolic septal ... Echocardiogram #a4c ... pocus #clinical #cardiology
Huge right atrial myxoma on POCUS Echocardiogram

Notice the typical attachment to the inter-atrial septum (fossa ovalis)
Huge right atrial ... septum (fossa ovalis ... ) and the consequent ... Echocardiogram #clinical #cardiology ... #s4c #ultrasound
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
of ventricular septum ... pressure < 15mmHg TREATMENT ... guanylate cyclase (sGC ... directly stimualtes sGC ... #management #hepatology
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
you see on this SC ... specific finding and ... Had diagnostic tap-fever ... Echocardiogram #clinical #cardiology ... #A3C #SeptalBounce
Treatment of giant cell arteritis (GCA)

1st Line Strategy - GC 0.7 mg/kg/day, except for:
 • Aortitis
Treatment of giant ... complicated by aneurysm ... week orally or SC ... 162 mg weekly SC ... #Management #Relapses
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
erythema nodosum (septal ... Venous disease (SVC ... coronary artery aneurysms ... Treatment: • Oral ... #management #signs
Iron Deficiency in Heart Failure - Diagnosis and Treatment Algorithm
Diagnosis: Ferritin <100 ng/mL (absolute ID) OR
and Treatment Algorithm ... Diagnosis: Ferritin ... Guidelines: • ACC ... #management #algorithm ... #cardiology #treatment
Hansen's Disease (Leprosy)
 • Transmission - not completely understood, ?nasal droplets
 • Symptoms appear ~5 years
China, India, Nepal ... Infiltration of dermis & SC ... numerous AFB Treatment ... Disease #Leprosy #diagnosis ... #management #treatment
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... - Differential Diagnosis ... Small secundum ASD ... #cardiology #clinical ... echocardiogram #s4c
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... lesions • Mycotic aneurysm ... Glomerulonephritis Septic ... Paradoxical emboli via ASD ... #management #cardiology