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clinical radiology differential endocarditis fast fastexam a4 apical apicalfourchamber artery contusion coronary criteria ctchest embolism fourchamber hepatorenalrecess infectiousdiseases longaxis lung
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 the RUQ view demonstrating echogenic clot in Morison’s pouch with adjacent anechoic free
Positive FAST in the ... (*) #Clinical #Diagnosis ... #EM #Trauma #Radiology ... #POCUS #FAST #FASTExam ... HepatorenalRecess #Positive #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
Positive FAST in LUQ view demonstrating large amount of complex free fluid (*) below the diaphragm
fluid (*) below the ... arrows) #Clinical #Diagnosis ... #EM #Trauma #Radiology ... #POCUS #FAST #FASTExam ... #SplenoRenal #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
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Paradoxical emboli via ASD ... + ↑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 ... on the upper left ... Several of the diagnoses ... This post will focus
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