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clinical echocardiogram a4c contrast differential ecg endocarditis flutter 1: 2 a4 aflutter aliem aorticdissection aorticregurgitation apicalfourchamber cardiacus classification dilated doubleshunt
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
atrial flutter ... Atypical atrial ... atrium or areas ... #Diagnosis #ECG ... #EKG #Cardiology
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
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Isthmus Independent Atrial ... Flutter • Rapid atrial ... VI suggests a left ... #cardiology #clinical ... #diagnosis
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... leads especially left ... leads indicates atrial ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right Atrium ... or PFO with left ... Effect #Right #Atrium ... #cardiology #clinical ... #bubble
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 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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 Giant dilated left atrium on Echocardiogram (a4c) It belongs to a 92-year old lady with a history
atrium on Echocardiogram ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
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 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 ... ↑ ESR, CRP • EKG ... • Left sided > Right ... #management #cardiology
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... as RAP>LAP as atrial ... septum shifts left ... 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
and Differential Diagnosis ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases
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