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clinical radiology differential endocarditis fast trauma a4 apical apicalfourchamber artery contusion coronary criteria ctchest dvt embolism fourchamber hepatorenalrecess infectiousdiseases longaxis
Positive FAST in the RUQ view demonstrating echogenic clot in Morison’s pouch with adjacent anechoic free
the RUQ view demonstrating ... (*) #Clinical #Diagnosis ... #EM #Trauma #Radiology ... #POCUS #FAST #FASTExam ... #ALiEM
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
Positive FAST in LUQ view demonstrating large amount of complex free fluid (*) below the diaphragm
Positive FAST in ... arrows) #Clinical #Diagnosis ... #EM #Trauma #Radiology ... #POCUS #FAST #FASTExam ... #SplenoRenal #ALiEM
Positive DVT study showing thrombus in the femoral vein (v), adjacent to the femoral artery (a)
Positive DVT study ... #Clinical #Diagnosis ... #EM #Radiology ... #Vasc #POCUS #DVT ... #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 ... prosthetic valve, PFO, ASD ... 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 ... Blood cultures are positive ... Paradoxical emboli via ASD ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... cases Culture Positive ... + ↑Suspicion → TEE ... #cardiology #infectiousdiseases
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... Pertinent positives ... on the upper left ... Several of the diagnoses
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