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clinical diagnosis contrast differential echocardiogram a4c aliem effect endocarditis 1: 2 a4 apical apicalfourchamber asd atrium bubble coronary criteria doubleshunt
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... atrial #septal # ... defect #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
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 Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(LV) and left atrium ... (LA). ... orientation of the septum ... #Clinical #EM # ... Cardiology #POCUS
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... (LV thrombus, LAA ... Paradoxical: Right to Left ... non-culprit vessels • Atrial ... scoring #criteria #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... or PFO with left ... Differential #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
interventricular septum ... (LV), left atrium ... (LA), anterior ... #Clinical #EM #Cardiology ... #POCUS #Parasternal
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... • Coagulase-negative ... Glomerulonephritis Septic ... than 5 to 7 days after ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Libman Sacks) • Atrial ... aureus, Coagulase-negative ... tumor embolism Septic ... than 5 to 7 days after ... 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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