12 results
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs - Differential ... • Ebstein's Anomaly ... Systolic #Murmurs #Cardiology ... #Differential # ... Diagnosis #Algorithm #causes
Ebstein's Anomaly on Echocardiogram

• Failure of the TV to "de-laminate" from the RV
• An abnormality of
Ebstein's Anomaly ... displacement in RV • Tricuspid ... #A4c #Echocardiogram ... #POCUS #clinical ... #cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
sign in Severe Tricuspid ... jugular venous wave caused ... IJ vein seen on POCUS ... Regurgitation #PhysicalExam ... #Cardiology #Neck
Ebstein Anomaly on Echocardiogram

Ebstein anomaly. The tricuspid valve is ALWAYS more apically displaced than the mitral
The tricuspid valve ... commonest congenital cause ... #POCUS #clinical ... Echocardiogram #cardiology ... #a4c
Kussmaul's Sign - Differential Diagnosis

Typically the JVP decreases with inspiration as the negative intrathoracic pressure "sucks
Kussmaul's Sign - Differential ... infarction, massive PE, tricuspid ... Kussmauls #Sign #physicalexam ... #diagnosis #cardiology ... causes
Right Sided Failure secondary to Carcinoid Heart Disease on Echocardiogram
Carcinoid heart disease results in characteristic right
In this case, note ... in torrential tricuspid ... Carcinoid #clinical #cardiology ... echocardiogram #pocus ... #a4c
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
nodes • Roth’s spots ... Septic Emboli Cause ... Marantic (NTBE) Differential ... Substance use: R > L Tricuspid ... diagnosis #management #cardiology
Double Orifice Mitral Valve in a young M w/ chest pain. Rare congenital anomaly of subvalvular
Rare congenital anomaly ... stenosis (not the case ... Ao coarctation, bicuspid ... MitralValve #clinical #cardiology ... echocardiogram #pocus
Severe functional TR (w/o color and CW Doppler) on TTE 2D and 3D
How do we estimate
PA dilation, short ... TR jet in cases ... functional #TR #tricuspid ... #3D #clinical #cardiology ... #pocus
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... nodes • Roth’s spots ... substance use: R > L Tricuspid ... #Endocarditis #Differential ... #Diagnosis #cardiology