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Venous Thrombosis vs Arterial Thrombosis - Differential Diagnosis Framework

VENOUS THROMBOSIS

 • Acquired Risk Factors:
	- >48 hours
• Nephrotic Syndrome ... Fat Emboli ARTERIAL ... • Cardiac: - Atrial ... thrombus - atrial ... pathophysiology #hematology
Degenerated Left Atrial Myxoma on Echocardiogram (PLAX)
A 68-year-old gentleman with progressive shortness of breath and cystic
Degenerated Left Atrial ... shortness of breath and ... Final diagnosis ... #Degenerated #Atrial ... clinical #cardiology #pocus
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
Hypercoagulable State Arterial ... rhythm monitoring, Echocardiogram ... risk actor for arterial ... • Provoked (e.g ... #diagnosis #algorithm
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Hepatopulmonary Syndrome ... Pleura and diaphragm ... Alveolar-arterial ... Hepatopulmonary #Syndrome ... #HPS #hepatology
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Tomography (CT) - Arterial ... portal venous, T1 arterial ... Ultrasound - Early arterial ... Grayscale phase, Late arterial ... Contrast #CT #MRI #POCUS
Antiphospholipid Syndrome (APS)
APS is a rare autoimmune disorder characterized by recurring blood clots resulting from antibodies
Antiphospholipid Syndrome ... Anticardiolipin antibodies (aCL ... confirmed venous, arterial ... patient has an arterial ... Antiphospholipid #Syndrome
Atrial Myxoma on POCUS Echocardiogram (PLAX)

Adolescent patient presents with chest pain and dyspnea. Beside TTE found
Atrial Myxoma on ... POCUS Echocardiogram ... the lab work, EKG ... . atrial myxoma ... ultrasound_vcu #Atrial
Behcet's Syndrome - Diagnosis
Diagnostic Criteria for Behget's Syndrome (International Study Group for Behget's Disease):
 • Recurrent,
Behcet's Syndrome ... - Diagnosis Diagnostic ... Criteria for Behget's Syndrome ... venous thromboses, arterial ... #criteria #rheumatology
Diagnostic Framework for Hemolysis - Intravascular vs Extravascular Causes
Intravascular Hemolysis:
 • Mechanical Trauma (Microangiopathic hemolytic anemia):
Diagnostic Framework ... ) - HELLP syndrome ... . lupus, CLL, lymphoma ... disease, Copper and ... #hematology #anemia
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
(e.g. ectopic atrial ... Morphology = multifocal atrial ... • Saw-Tooth = Atrial ... WolffParkinson-White syndrome ... Interpretation #ECG