10 results
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
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
Coronal / transverse view - Directional indicator: Pointed to patient’s right side - Appropriate transducer orientation
orientation for the ... transvaginal exam #EM ... #Obgyn #Radiology ... #TransVaginal #POCUS ... #Orientation #ALiEM
Posterior ECG leads (V7-V9) are applied by moving V4-V6 to under the left scapula.Purpose: To detect
V4-V6 to under the ... left scapula.Purpose ... lateral wall AMI #EM ... #Cardiology #Posterior ... #ALiEM
Sagittal / longitudinal view - Directional indicator: Pointed to anterior of patient (towards the ceiling) -
longitudinal view - Directional ... transvaginal exam #EM ... #Obgyn #Radiology ... #TransVaginal #POCUS ... #Orientation #ALiEM
This is a parasternal long axis view of a young patient presenting with 3 days of
x-ray and and ECG ... aortic root, and left ... atrium should roughly ... Michael Macias, EM ... #Radiology #POCUS
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
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... ↑ Suspicion -> TEE ... ↑ ESR, CRP • EKG ... 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 ... + ↑Suspicion → TEE ... ↑ ESR, CRP • EKG ... 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