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clinical diagnosis aliem differential ecg echocardiogram endocarditis 1: 2 a4 a4c aorticdissection aorticregurgitation apical apicalfourchamber cardiacus classification contrast doubleshunt ecgeducator
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Counterclockwise and (Left ... flutter from the ... from the left atrium ... #Diagnosis #ECG ... #EKG #Cardiology
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves 2. Don't trust
cue to look for flutter ... Don't trust the ... #Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
used to detect atrial ... atrial flutter ... Then the left arm ... The left leg electrode ... #Cardiology #EKG
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
ventricle (RV), right atrium ... (RA), left ventricle ... (LV) and left atrium ... septum #Clinical #EM ... #Cardiology #POCUS
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
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 Subxiphoid 4-chamber view showing right ventricle (RV), right atrium (RA), left ventricle (LV) and left atrium
(RA), left ventricle ... (LV) and left atrium ... Note the small pericardial ... #Clinical #EM #Cardiology ... #POCUS #Subxiphoid
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
Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
interventricular septum (S), left ... ventricle (LV), left ... atrium (LA), anterior ... #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 ... 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
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