Tract clinical cardiology

Combined Severe Aortic Stenosis and LV Outflow Tract Obstruction

- Marc Dweck @MarcDweck

#Clinical #Cardiology #CardiacMRI #AorticStenosis #LVOTO

and LV Outflow Tract ... @MarcDweck #Clinical ... #Cardiology #CardiacMRI

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Systolic Anterior Motion (SAM) of the Mitral Valve (MV)

Systolic anterior motion (SAM) describes the dynamic movement

ventricular outflow tract ... MitralValve #MV #Cardiology ... #Clinical #POCUS

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Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.

ventricular outflow tract ... Chest #XRay #CXR #clinical ... #radiology #peds ... #pediatrics #cardiology

LVOTO in Sarcoma - Echocardiogram (A4C)
Subtotal occlusion of the left ventricular outflow tract in a young

ventricular outflow tract ... Echocardiogram #A4C #pocus #clinical ... #cardiology #cancer

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Isolated cleft in the posterior mitral valve leaflet can be a cause of unexplained mitral regurgitation

regurgitation (from trace ... Echocardiogram #clinical ... #cardiology #pocus

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Aortic Graft on POCUS Echocardiogram

Phased array placed over L parasternal 4th intercostal space, indicator towards pt’s

AOFT, ao. outflow tract ... #Graft #Aorta #clinical ... Echocardiogram #cardiology

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Ventricular standstill on LV Ventriculogram

Can see ECG trace at bottom of screen & atrial activity on

Can see ECG trace ... #fluoroscopy #clinical ... #cardiology

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Apical 3-Chamber (A3C) View - Regional Wall Anatomy on POCUS Echocardiogram

Often one of the most challenging

ventricular outflow tract ... Echocardiogram #clinical ... #cardiology #labeled

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Tetralogy of Fallot

1. Right ventricular outflow tract obstruction

2. Right ventricular hypertrophy

3. Ventricular septal

ventricular outflow tract ... Peds #Pediatrics #Cardiology

Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior

Artery occlusion) Clinical ... Solitary nucleus/tract ... nucleus (CN 5) / tract ... Spinothalamic tract ... Central tegmental tract

Pathogenesis of Urinary Tract Infection (UTI)

#Urinary #Tract #Infection #UTI #Pathophysiology #Pyelonephritis

Pathogenesis of Urinary Tract ... ) #Urinary #Tract

Leukocyte Esterase and Nitrites on Urinalysis
Leukocyte Esterase: Urinary tract infection, Indwelling urinary catheter, Recent instrumentation of

Esterase: Urinary tract ... instrumentation of the GU tract ... adjacent to the GU tract ... Nitrites: Urinary tract

Stroke Volume & Cardiac Output Measurement on POCUS
Accurately measure LVOT diameter:
1. Obtain PLAX
2. Zoom to

Run PWD trace 4 ... Trace around PWD ... trace CO = HR ... Measurement #POCUS #cardiology

Myxoma #CardiacMRI #Cardiology ... #Clinical #Radiology

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Lower Urinary Tract Infections: Complications
- Infection damages the urinary tract epithelium causing fibroblast proliferation and

Lower Urinary Tract ... damages the urinary tract ... deposition -> Urinary Tract ... lower urinary tract

Upper Urinary Tract infection (UUTI): Pathogenesis and Clinical Findings

Predisposing Factors:
- Immunocompromised, Diabetes,
- Elderly, Female

Upper Urinary Tract ... Pathogenesis and Clinical ... Lower Urinary Tract ... ureters from lower tract

Causes of Urinary Tract Obstruction - Differential Diagnosis Algorithm
Upper Tract - Bladder NOT distended on ultrasound,

Causes of Urinary Tract ... Algorithm Upper Tract ... obstruction Lower Tract ... hematuria) - Outflow Tract

Pediatric Causes of Abdominal Pain

Surgical:
- Acute appendicitis
- Intestinal obstruction including intussusception
-

Gastroenteritis - Urinary tract ... • urinary tract ... Upper respiratory tract

Urinary Tract Infection

Cardiac MRI of Unicuspid Unicommissural aortic valve in an 18-year-old female patient.

Dr. Jasper Selder, European Cardiology
@escardio

#Unicuspid

Selder, European Cardiology ... Valve #CardiacMRI #Clinical ... #Radiology #Cardiology

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Differentiating Pacemaker vs ICD on Chest XRay
- Single Chamber PPM
- Single Chamber ICD
-

ChestXRay #CXR #Radiology ... #comparison #clinical ... #cardiology

the respiratory tract

Emphysematous Urinary Tract

Urinary Tract Infection - UTI Diagnosis

UTI is a clinical diagnosis - patients may have bacteriuria

Urinary Tract Infection ... Diagnosis UTI is a clinical

Acute Urinary Tract

Cysticercosis #cardiology ... #clinical #CardiacMRI ... #Radiology

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Spinal Cord Anatomy - Ascending and Descending Tracts

By @rev.med

#Spinal #Cord #Anatomy #Ascending #Descending #Tracts #Columns

and Descending Tracts ... Ascending #Descending #Tracts

Gastrointestinal tract

Lower Urinary Tract Infection: Pathogenesis and Clinical Findings

- Predisposing Factors: Immunocompromised state, diabetes, elderly, female

Lower Urinary Tract ... Pathogenesis and Clinical ... Lower Urinary Tract ... bladder or distal tract

Parks Classification of Perianal Fistulas
• Superificial (Simple) - Superficial fistula w/o crossing any sphincter or

Simple) - Fistula tract ... high) - Fistula tract ... complex) - Fistula tract ... complex) - Fistula tract

Abnormal (Positive) Babinski Sign on Physical Exam

Dorsiflexion of the great toe with or without fanning of

with pyramidal tract ... #PhysicalExam #clinical

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Bladder • GI Tract

Thalassemias on Hemoglobin Electrophoresis
Beta-Thalassemia:
• Major
• Intermediate
• Trait
Alpha Thalassemia:
• Trait-1 (α α/ α-)

Intermediate • Trait ... Thalassemia: • Trait ... 1 (α α/ α-) • Trait

Starr-Edwards Mechanical Valve in Cardiac CTA

Dr. Stephan Achenbach @Steph_Achenbach

#StarrEdwards #Mechanical #Valve #CardiacCTA #clinical #cardiology #Radiology

Valve #CardiacCTA #clinical ... #cardiology #Radiology

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Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic

corticospinal tract ... Typically involves tracts ... corticospinal tracts ... spinothalamic tracts ... descending autonomic tracts

Atlas of Urine Microscopy Findings
• Epithelial cells - Normal
• Renal tubular cells - Acute

in the urinary tract ... inflammation in urinary tract ... Bacteria - Urinary tract

UTI treatment
#Diagnosis #UrinaryTract #Infection #UTI #Definition #Uncomplicated #UrinaryTract #Infection #UTI #Algorithm #Diagnosis #Management #Urinary #Tract

Management #Urinary #Tract

Urinary Tract Tuberculosis - Contrast-enhanced computed tomography (CT) of the abdomen showed mild dilatation of the

Urinary Tract Tuberculosis ... bacilli (Panel D) #Clinical ... #Radiology #Pathology

Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased

Pseudohypoaldosteronism, Urinary tract ... injury: Urinary tract

Urinary Tract Infection

CT Coronary Angiography Indications - Appropriateness Criteria

@StanfordChiefs

#CCTA #Appropriateness #criteria #indications #cardiology #radiology #CTA #Cardiac

#indications #cardiology ... #radiology #CTA

Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
- SMALL PAPILLA: can be difficult to

distally - PARARELL tract ... up the correct tract ... makes the cystic tracts

Causes of Enuresis - Differential Diagnosis Algorithm
Primary Nocturnal Enuresis (Urinary Control Never Achieved)
• Delayed Maturation

): • Urinary Tract ... Voiding (Urinary Tract

#Pharmacology #Tracts

The arrows point to a subendocardial region with poor contrast enhancement due to ischemia. This is

#Clinical #EM #IM ... #Cardiology #Radiology

Cardiac MRI Demonstrating Electrical Alternans in Pericardial Effusion

Dr Prasad Jain @DrPrasadJain

#Pericardial #Effusion #Cardiac #MRI #Cine #CMRI

Electrical #Alternans #clinical ... #video #radiology ... #cardiology

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Pelvic X-Ray Anatomy and Interpretation Checklist
- Sacro-iliac joints
- Don't forget the lumbar spine -

- ASIS/AIIS - Trace ... interpretation #radiology

Causes of Primary and Secondary Amenorrhea - Differential Diagnosis Algorithm
Primary Amenorrhea - No onset of menarche

Congenital Outflow Tract ... Other • Outflow Tract

Brissaud's Sign
Brissaud's Sign, a substitute for Babinski's sign, was published only 22 days after Babinski's famous

due to pyramidal tract ... Reflex #Neurology #clinical

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Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Prerenal:
• Due to true volume loss or decreased

along the urinary tract ... to the urinary tract

Cervical Lymphadenopathy - Lymph Node Drainage
Preauricular nodes - Drain scalp, skin
• Differential diagnosis: Scalp infections,

gastrointestinal tract ... genitourinary tract

Causes of Acute Onset Fever - Differential Diagnosis Algorithm
Viral:
• Rhinovirus
• Influenza Virus
• Parainfluenza

Upper Respiratory Tract ... Infection • Urinary Tract

Swinging Heart within a Large Pericardial Effusion on Cardiac MRI - Electrical Alternans Visualized

Prasad Jain, MD

CardiacMRI #CMRI #clinical ... #radiology #cardiology

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Increased Urinary Frequency - Differential Diagnosis Algorithm
Non-increased urine volume (<2mL/min), Rule out polyuria
Extrinsic to Urinary Tract:

Extrinsic to Urinary Tract ... Pregnancy Urinary Tract

A Pediculus humanus (louse) nymph.
Specimen was alive and in the video you can actually see

the digestive tract ... humanus #lice #clinical

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#clinical #cardiology

Causes of Apparent Life Threatening Event (ALTE) - Differential Diagnosis Algorithm
Cardiac:
• Congenital Heart Disease
•

Upper Respiratory Tract ... Empyema • Urinary Tract

Highlighted Conditions With Arteritis or Periarteritis of the Coronaries
Takayasu's arteritis:
- Onset < 40 yrs
-

Ulceration GI tract ... Differential #Diagnosis #Cardiology

Visual Pathway Neural Lesions
A) Optic Nerve → Left Anopia
B) Optic Chiasm → Bitemporal Hemianopia
C) Lateral Geniculate

Hemianopia D) Optic Tract

Cardiac Auscultation Practice - Aortic Stenosis

Aortic Stenosis: trace a circle over the back of your hand

Aortic Stenosis: trace ... #PhysicalExam #Clinical

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