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clinical differential ekg echocardiogram electrocardiogram endocarditis flutter a4 aflutter aorticdissection aorticregurgitation apicalfourchamber atrium cardiacus causes classification contrast deep ecgeducator effect
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
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
vs Clockwise (Right ... Atypical atrial ... in the right atrium ... #Diagnosis #ECG ... #EKG #Cardiology
Deep T Wave Inversions - Differential Normal variants A. Juvenile T wave pattern
or right ventricular ... Intermittent left ... #Differential #Diagnosis ... #Causes #Cardiology ... #ECG #EKG #Electrocardiogram
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
VI suggests a right ... VI suggests a left ... Flutter #aflutter #ecg ... #cardiology #clinical ... #diagnosis
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... leads especially left ... leads indicates atrial ... indefinitely inverted #Diagnosis ... #EM #IM #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
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Small secundum ASD ... or PFO with left ... #Diagnosis #cardiology ... echocardiogram #s4c #pocus ... #bubble
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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
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... parasternal long, the right ... aortic root, and left ... atrium should roughly ... #Radiology #POCUS
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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 ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... • Left sided > Right ... #management #cardiology
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