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clinical diagnosis echocardiogram a4c aliem differential endocarditis 1: 2 a4 apical apicalfourchamber artery contrast coronary criteria doubleshunt embolism fourchamber hcm
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(RA), left ventricle ... (LV) and left atrium ... orientation of the septum ... #Clinical #EM # ... Cardiology #POCUS
Septal Hypertrophic Cardiomyopathy (HOCM) 52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) EM resident
Cardiomyopathy ... EKG nonspecific, Serial ... trops (-) EM ... echocardiogram #plax #cardiology ... #pocus
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 Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View RCM is a disease of diastole —> severe
Restrictive Cardiomyopathy ... septum might look ... An ASD with atria ... Echocardiogram #clinical #pocus ... echocardiogram #cardiology
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 Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Fibroelastoma), Mass (Myxoma ... Paradoxical: Right to Left ... risk factors: cardiomyopathy ... prosthetic valve, PFO, ASD ... scoring #criteria #cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Glomerulonephritis Septic ... Paradoxical emboli via ASD ... diagnosis #management #cardiology
Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
interventricular septum ... (S), left ventricle ... (LV), left atrium ... #Clinical #EM #Cardiology ... #POCUS #Parasternal
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Paradoxical emboli via ASD ... tumor embolism Septic ... 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 ... stretched PFO or ASD ... Echocardiogram #clinical #pocus ... intrapulmonary #cardiology
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