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clinical diagnosis differential 1: 2 a4 a4c apical apicalfourchamber artery contrast coronary criteria doubleshunt echocardiogram embolism fourchamber infectiousdiseases intrapulmonary longaxis
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(LV) and left atrium ... septum #Clinical ... #EM #Cardiology ... #POCUS #Apical ... #FourChamber #ALiEM
Subxiphoid 4-chamber view showing right ventricle (RV), right atrium (RA), left ventricle (LV) and left atrium
(LV) and left atrium ... (LA). ... #Clinical #EM #Cardiology ... #POCUS #Subxiphoid ... PericardialEffusion #ALiEM
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
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
(LV thrombus, LAA ... Paradoxical: Right to Left ... prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis ... 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 ... Glomerulonephritis Septic ... Paradoxical emboli via ASD ... ↑ Suspicion -> TEE ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... tumor embolism Septic ... + ↑Suspicion → TEE ... 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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