12 results
Atrial Fibrillation on POCUS Echocardiogram (A4C)

35yoF presents with acute onset atrial fibrillation.  POCUS shows dilated
Atrial Fibrillation ... on POCUS Echocardiogram ... with acute onset atrial ... left atrium & poor ... #POCUS #Echocardiogram
Degenerated Left Atrial Myxoma on Echocardiogram (PLAX)
A 68-year-old gentleman with progressive shortness of breath and cystic
Atrial Myxoma on ... Final diagnosis ... was degenerated LA ... #Degenerated #Atrial ... clinical #cardiology #pocus
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Noncardiac: • Pulmonary ... atrial thrombus ... atrial occlusion ... #diagnosis #management
Differentiating PAH from PVH - Echocardiography
Pulmonary Artery Hypertension (PAH):
 • RV size - Enlarged
 • LA
from right to left ... septum - Bows from left ... Differentiating #PAH #PVH #Echocardiogram ... #comparison #diagnosis ... #arterial #venous
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
arterial hypertension ... lung disease, left ... Transthoracic echocardiogram ... ventricular size, Right atrial ... #management #hepatology
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Gradient • Right to Left ... UnremarkableLab #AA ... Gradient #alveolar #arterial ... #hypoxemia #differential ... #diagnosis
Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late
diastolic (during atrial ...  = left atrium; ... acceleration time of pulmonary ... cmls) #TTE #Echocardiogram ... Transthoracic #Diagnosis
Transesophageal Echocardiogram (TEE) Windows
1. ME 5-Chamber view 
2. ME 4-Chamber view 
3. ME-Commissural view 
4. ME
Transesophageal Echocardiogram ... ME Right Pulmonary ... Pulmonary veins ... ME Left Atrial Appendage ... Windows #Views #diagnosis
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Diagnosis Framework ... syndrome - Coronary arteries ... Thrombosis and arterial ... retinopathy Lab ... Tests: • CBC • LFT
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... • Left sided > Right ... #management #cardiology