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clinical differential echocardiogram a4c effect endocarditis 1: 2 aliem apical apicalfourchamber artery atrium bubble coronary criteria defect doubleshunt embolism fourchamber
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
Apical 4-chamber (A4 ... (RA), left ventricle ... (LV) and left atrium ... septum #Clinical #EM ... #Cardiology #POCUS
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... #washout #ASD # ... Echocardiogram #clinical #cardiology ... #pocus
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 Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... or PFO with left ... #cardiology #clinical ... echocardiogram #s4c #pocus
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 Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... , TEE, CT or MRI ... prosthetic valve, PFO, ASD ... Artery #Embolism #diagnosis ... scoring #criteria #cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... • Coagulase-negative ... Paradoxical emboli via ASD ... ↑ Suspicion -> TEE ... #management #cardiology
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
>LAP as atrial septum ... shifts left ... stretched PFO or ASD ... Echocardiogram #clinical #pocus ... intrapulmonary #cardiology
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Libman Sacks) • Atrial ... aureus, Coagulase-negative ... Paradoxical emboli via ASD ... + ↑Suspicion → TEE ... #cardiology #infectiousdiseases
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