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clinical echocardiogram a4c contrast differential 1: a4 afib apical apicalfourchamber artery bubble coronary criteria dilated doubleshunt ecgeducator effect ekg embolism
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
ventricle (RV), right atrium ... (LV) and left atrium ... septum #Clinical #EM ... #Cardiology #POCUS ... #FourChamber #ALiEM
Subxiphoid 4-chamber view showing right ventricle (RV), right atrium (RA), left ventricle (LV) and left atrium
ventricle (RV), right atrium ... (LV) and left atrium ... #Clinical #EM #Cardiology ... #POCUS #Subxiphoid ... PericardialEffusion #ALiEM
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... Artery #Embolism #diagnosis ... scoring #criteria #cardiology
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Atrial Fibrillation ... risk factors Atrial ... atria, the size ... atrial thrombus ... atrial occlusion
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
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
leads especially left ... leads indicates atrial ... injury. stage 2 ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right Atrium ... or PFO with left ... to right shunt 2. ... Effect #Right #Atrium ... #cardiology #clinical
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 Giant dilated left atrium on Echocardiogram (a4c) It belongs to a 92-year old lady with a history
atrium on Echocardiogram ... aneurysm idiopathic. 2. ... #atrium #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
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 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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