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clinical diagnosis echocardiogram a4c endocarditis 1: 2 a4 apical apicalfourchamber artery bubble coronary coronarysinus criteria dilated doubleshunt effect fourchamber giant
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
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(LV thrombus, LAA ... Paradoxical: Right to Left ... non-culprit vessels • Atrial ... #diagnosis #differential ... scoring #criteria #cardiology
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
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right Atrium ... or PFO with left ... Effect #Right #Atrium ... #Diagnosis #cardiology ... echocardiogram #s4c #pocus
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 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 ... Marantic (NTBE) Differential ... via ASD • Metastatic ... • Left sided > Right ... diagnosis #management #cardiology
Giant dilated left atrium on Echocardiogram (a4c) It belongs to a 92-year old lady with a history
atrium on Echocardiogram ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
- Overview and Differential ... Libman Sacks) • Atrial ... via ASD • Metastatic ... #Endocarditis #Differential ... #Diagnosis #cardiology
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
L shunt as RAP>LAP ... as atrial septum ... shifts left ... Echocardiogram #clinical #pocus ... intrapulmonary #cardiology
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 Persistent Left Superior Vena Cava and Unroofed Coronary Sinus Bubble study for cryptogenic stroke. Left arm
drains directly to LA ... ) & RA or both atria ... Cause of systemic embolism ... CoronarySinus #clinical #cardiology ... echocardiogram #pocus
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