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clinical echocardiogram contrast differential aliem atrium effect endocarditis 1: a4 apical apicalfourchamber artery bubble coronary criteria defect dilated doubleshunt embolism
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
patient with an ASD ... effect #washout #ASD ... #atrial #septal ... #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). ... septum #Clinical ... #EM #Cardiology ... #POCUS #Apical
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. ... #cardiology #clinical ... #pocus #bubble
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 Giant dilated left atrium on Echocardiogram (a4c) It belongs to a 92-year old lady with a history
idiopathic. 2. ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
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 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 ... prosthetic valve, PFO, ASD ... Artery #Embolism #diagnosis
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
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
>LAP as atrial septum ... shifts left ... stretched PFO or ASD ... #a4c #intrapulmonary ... #cardiology #saline
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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 ... • Coagulase-negative ... Paradoxical emboli via ASD ... ↑ Suspicion -> TEE ... #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 ... Paradoxical emboli via ASD ... tumor embolism Septic ... #cardiology #infectiousdiseases
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