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clinical differential echocardiogram contrast endocarditis radiology 1: 2 a4 a4c aorticdissection aorticregurgitation apical apicalfourchamber artery atrium bubble coronary criteria doubleshunt
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(RA), left ventricle ... (LV) and left atrium ... septum #Clinical #EM ... #Cardiology #POCUS ... #FourChamber #ALiEM
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
(RA), left ventricle ... (LV) and left atrium ... #Clinical #EM #Cardiology ... #POCUS #Subxiphoid ... PericardialEffusion #ALiEM
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... aortic root, and left ... atrium should roughly ... #Radiology #POCUS ... #CardiacUS #ParsternalLong
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 Left testicular torsion - midline transverse view demonstrating absent flow #Clinical #Diagnosis #EM #Radiology #POCUS #Testicular
Left testicular ... flow #Clinical #Diagnosis ... #EM #Radiology ... #POCUS #Testicular ... Torsion #ScrotalUS #ALiEM
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... non-culprit vessels • Atrial ... , h/o of cardiac ... Artery #Embolism #diagnosis ... scoring #criteria #cardiology
Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
ventricle (LV), left ... atrium (LA), anterior ... #Clinical #EM #Cardiology ... #POCUS #Parasternal ... LongAxis #PSLA #ALiEM
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... : • New cardiac ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... #management #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Small secundum ASD ... or PFO with left ... #cardiology #clinical ... echocardiogram #s4c #pocus
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential Diagnosis ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases
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