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clinical diagnosis contrast echocardiogram endocarditis 1: a4 a4c apical apicalfourchamber artery atrium bubble coronary criteria doubleshunt effect embolism fourchamber infectiousdiseases
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(LV) and left atrium ... orientation of the septum ... #Clinical #EM # ... Cardiology #POCUS ... #FourChamber #ALiEM
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... Angiography or Cardiac ... , h/o of cardiac ... Embolism #diagnosis #differential ... scoring #criteria #cardiology
Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
interventricular septum ... (LV), left atrium ... #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 ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... diagnosis #management #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Small secundum ASD ... or PFO with left ... to right shunt 2. ... #Diagnosis #cardiology ... 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
- Overview and Differential ... Libman Sacks) • Atrial ... tumor embolism Septic ... #Endocarditis #Differential ... #Diagnosis #cardiology
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 ... PVeins (extra-cardiac ... Echocardiogram #clinical #pocus ... intrapulmonary #cardiology
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