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clinical differential endocarditis obgyn pelvicus radiology transvaginal a4 apical apicalfourchamber artery coronal coronary criteria embolism fourchamber infectiousdiseases longaxis longitudinal management
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(LV) and left atrium ... orientation of ... #EM #Cardiology ... #POCUS #Apical ... #FourChamber #ALiEM
Coronal / transverse view - Directional indicator: Pointed to patient’s right side - Appropriate transducer orientation
for the coronal ... transvaginal exam #EM ... #Obgyn #Radiology ... #TransVaginal #POCUS ... #ALiEM
Sagittal / longitudinal view - Directional indicator: Pointed to anterior of patient (towards the ceiling) -
longitudinal view - Directional ... transvaginal exam #EM ... #Obgyn #Radiology ... #TransVaginal #POCUS ... #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
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Fibroelastoma), Mass (Myxoma ... Paradoxical: Right to Left ... non-culprit vessels • Atrial ... Artery #Embolism #diagnosis ... scoring #criteria #cardiology
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 ... myxoma • Hypercoagulable ... 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
and Differential Diagnosis ... Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Paradoxical emboli via ASD ... #cardiology #infectiousdiseases
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