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clinical echocardiogram a4c differential endocarditis 1: asd bubble defect doubleshunt ecgeducator im infectiousdiseases intrapulmonary management pericarditis ra right s4c saline
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... ) in the right atrium ... #contrast #effect ... atrial #septal # ... #pocus
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 Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Negative Contrast ... Atrium - Differential ... or PFO with left ... #Contrast #Effect ... #Right #Atrium
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 Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
leads especially left ... leads indicates atrial ... injury. stage 2 ... #EM #IM #Cardiology ... #EKG #Pericarditis
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
as RAP>LAP as atrial ... septum shifts left ... stretched PFO or ASD ... Echocardiogram #clinical #pocus ... intrapulmonary #cardiology
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... • Coagulase-negative ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Libman Sacks) • Atrial ... aureus, Coagulase-negative ... staphylococci Culture Negative ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases
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