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diagnosis cardiology causes plax pocus clinical clot coronary criteria cva dilatedcm embolism functional infectiousdiseases infective ischemic management mitralvalve primary regurgitation
What's the Dx? • 29-year-old male • Transfer community hospital • Hypotension • Renal failure • Altered mental status.
Clips 1 and 2 demonstrate ... a mobile mitral ... with a vegetation ... secondary to endocarditis ... Clinical #POCUS #Echocardiogram
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 Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... (Vegetation, Thrombus ... risk factors: cardiomyopathy ... cardiac surgery, endocarditis ... Embolism #diagnosis #differential
Causes of Ischemic Stroke - Differential Diagnosis Framework Important to determine and treat the etiology behind because
* • Valvular: Mitral ... stenosis, Prosthetic valve ... • Endocarditis ... • Dilated cardiomyopathy ... Bifurcation of carotid artery
Causes of Primary and Functional Mitral Regurgitation (MR) Causes of primary mitral regurgitation - Rheumatic heart
Infective/marantic endocarditis ... Vegetations seen ... valve - Secondary ... produced by LV ... Primary #Functional #Differential
Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
disease Infective endocarditis ... (vegetations)/tumor ... atrial myxoma)/ball valve ... occur 10—20 years after ... Causes #diagnosis #differential
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Involves aortic and mitral ... formation • Other vegetations ... Marantic (NTBE) Differential ... than 5 to 7 days after ... -mm left sided vegetations
LV Thrombus on POCUS (PLAX) 60 yo man with PMH of dilated cardiomyopathy comes to ED with
PMH of dilated cardiomyopathy ... showed axillary artery ... atached to the mitral ... valve, but to the ... Wall #Thrombus #Echocardiogram
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential ... involves aortic and mitral ... than 5 to 7 days after ... -mm left sided vegetations ... #Endocarditis #Differential
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