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clinical echocardiogram contrast diagnosis differential effect endocarditis 1: 2 a4 aorticdissection aorticregurgitation apical apicalfourchamber arterial atrium bubble cardiacus defect doubleshunt
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(RA), left ventricle ... (LV) and left atrium ... septum #Clinical #EM ... #Cardiology #POCUS ... #FourChamber #ALiEM
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
patient with an ASD ... effect #washout #ASD ... #defect #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
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 Subxiphoid 4-chamber view showing right ventricle (RV), right atrium (RA), left ventricle (LV) and left atrium
(LV) and left atrium ... Note the small pericardial ... #Clinical #EM #Cardiology ... #POCUS #Subxiphoid ... PericardialEffusion #ALiEM
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Small secundum ASD ... or PFO with left ... Differential #Diagnosis #cardiology ... echocardiogram #s4c ... #pocus #bubble
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 Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
ventricle (LV), left ... atrium (LA), anterior ... #Clinical #EM #Cardiology ... #POCUS #Parasternal ... LongAxis #PSLA #ALiEM
This is a parasternal long axis view of a young patient presenting with 3 days of
left atrium should ... Michael Macias, EM ... University #Clinical #EM ... #Radiology #POCUS ... #CardiacUS #ParsternalLong
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 Left Ventricular Thrombus Arterial Embolization on Echocardiogram- Caught in Action! The TTE was ordered for cardioembolic
Left Ventricular ... renal infarcts and ... #Embolization #Cardiac ... #POCUS #echocardiogram ... #Cardiology #A4c
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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 ... diagnosis #management #cardiology
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 - 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 ... + ↑Suspicion → TEE ... Differential #Diagnosis #cardiology
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