13 results
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... non-culprit vessels • Atrial ... Major + 1 Minor ... Criteria) OR (2 ... #diagnosis #differential
Venous Thrombosis vs Arterial Thrombosis - Differential Diagnosis Framework

VENOUS THROMBOSIS

 • Acquired Risk Factors:
	- >48 hours
Arterial Embolism ... • Cardiac: - Atrial ... thrombus - atrial ... fibrillation - Left ... cardiac valves (septic
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... risk factors Atrial ... atria, the size ... atrial thrombus ... atrial occlusion
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
atrium on Echocardiogram ... (a4c) It belongs ... sinus rhythm... 1. ... aneurysm idiopathic. 2. ... #atrium #a4c #Echocardiogram
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
demonstration of platelet thrombi ... is required for diagnosis ... cultures/serology: Serial ... often small (<1 ... Predilection for left-sided
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... 1. ... to right shunt 2. ... Effect #Right #Atrium ... echocardiogram #s4c
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Echocardiogram (1) ... (2) Lvef 25-30% ... (7) patient in atrial ... clinical #cardiology #a4c ... #thrombus
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
lung disease, left ... thromboembolism) 1) ... ventricular size, Right atrial ... of ventricular septum ... 2) DIAGNOSE -
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Echocardiogram (A4C ... ) 48 year old woman ... the context of embolism ... are not POCUS: serial ... Echocardiogram #A4C
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
diffusion-perfusion defect (Type 1) ... anatomic shunt (Type 2) ... Microbubbles appear in left ... cycles after right atrial ... blood gas (ABC)