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clinical differential endocarditis a4 a4c apical apicalfourchamber arterial artery cardiac causes coronary criteria dvt echocardiogram embolization fourchamber infarction infectiousdiseases longaxis
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Fibroelastoma), Mass (Myxoma ... Paradoxical: Right to Left ... , TEE, CT or MRI ... #diagnosis #differential ... scoring #criteria #cardiology
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
Positive DVT study showing thrombus in the femoral vein (v), adjacent to the femoral artery (a)
study showing thrombus ... #Clinical #Diagnosis ... #EM #Radiology ... #Vasc #POCUS #DVT ... Noncompressible #ALiEM
Left Ventricular Thrombus Arterial Embolization on Echocardiogram- Caught in Action! The TTE was ordered for cardioembolic
Left Ventricular ... Thrombus Arterial ... #Clinical #POCUS ... echocardiogram #Cardiology ... #A4c #Embolism
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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 ... myxoma • Hypercoagulable ... via ASD • Metastatic ... ↑ Suspicion -> TEE ... #management #cardiology
Subxiphoid 4-chamber view showing right ventricle (RV), right atrium (RA), left ventricle (LV) and left atrium
(LV) and left atrium ... Note the small pericardial ... #Clinical #EM #Cardiology ... #POCUS #Subxiphoid ... PericardialEffusion #ALiEM
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... via ASD • Metastatic ... + ↑Suspicion → TEE ... #cardiology #infectiousdiseases
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
Causes of Renal Infarction - Differential Diagnosis Thrombosis: Spontaneous • Atherosclerotic disease of aorta and renal artery
- Differential Diagnosis ... Cardiac source: Atrial ... infarction with mural thrombi ... : Left atrial myxoma ... #Differential #Diagnosis
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