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clinical differential endocarditis a4 apical apicalfourchamber artery atrium bubble contrast coronary criteria echocardiogram fourchamber infectiousdiseases longaxis management negative parasternal pericardialeffusion
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
atrium (RA), left ... atrium (LA). ... septum #Clinical #EM ... #Cardiology #POCUS ... #FourChamber #ALiEM
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Fibroelastoma), Mass (Myxoma ... to Left from Venous ... System/Right Heart ... #diagnosis #differential ... scoring #criteria #cardiology
Subxiphoid 4-chamber view showing right ventricle (RV), right atrium (RA), left ventricle (LV) and left atrium
atrium (RA), left ... atrium (LA). ... #Clinical #EM #Cardiology ... #POCUS #Subxiphoid ... PericardialEffusion #ALiEM
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... via ASD • Metastatic ... • Left sided > Right ... #management #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
in Right Atrium ... or PFO with left ... #Right #Atrium ... #cardiology #clinical ... echocardiogram #s4c #pocus
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 Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
Note the right ventricle ... atrium (LA), anterior ... #Clinical #EM #Cardiology ... #POCUS #Parasternal ... LongAxis #PSLA #ALiEM
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... via ASD • Metastatic ... • Left sided > Right ... #cardiology #infectiousdiseases
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