9 results
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
- Most Common Cause ... attributable to acute ... based on TTE, TEE, CT ... cardiac surgery, endocarditis ... #diagnosis #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): Acute ... Cerebral > Splenic, pulmonary ... Diagnosis? ... Treat underlying cause ... #cardiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Initial evaluation ... TTE +/- TEE) • Chest ... CT scan, if suspect ... w/ septic pulmonary ... with multiple embolic
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... is helpful in evaluating ... for other causes ... #Embolism #AcutePE ... #diagnosis #cardiology
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
Hampton hump is a radiologic ... may aid in the diagnosis ... of pulmonary embolism ... In this case, pulmonary ... with chest CT angiography
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... Culture Positive: • Acute ... Cerebral > Splenic, Pulmonary ... cause injury by ... Treat underlying cause
Lung infarction
The radiographic features of acute pulmonary thromboembolism are insensitive and nonspecific.
The most common radiographic findings
radiographic features of acute ... Embolism Diagnosis ... pulmonary emboli ... the chest x-ray ... #Clinical #Radiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... 's female with chest ... Differential/diagnosis ... See thread for POCUS ... Pulmonary embolism
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
McConnell's Sign on POCUS ... patients w/ different diagnoses ... strain related to pulmonary ... embolism, but could ... chest in pts with