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clinical echocardiogram contrast differential s4c 1: 2 a4 apical apicalfourchamber bubble clotintransit doubleshunt effect em embolism fibrillation fourchamber infectiousdiseases intrapulmonary
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(RA), left ventricle ... (LV) and left atrium ... #Clinical #EM #Cardiology ... #POCUS #Apical ... #FourChamber #ALiEM
Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... additional clot seen in RA ... Echocardiogram #A4c ... #clinical #cardiology
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 Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Small secundum ASD ... #Diagnosis #cardiology ... echocardiogram #s4c ... #pocus #bubble
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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 ... Diagnosis? ... ↑ ESR, CRP • EKG ... #cardiology
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
other) causing ⬆️ RA ... as atrial septum ... stretched PFO or ASD ... #a4c #intrapulmonary ... #cardiology #saline
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Diagnosis Framework ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber 50's male witnessed arrest. Unknown hx. AED no
Diagnosis? ... with asystole as ... getting 12 lead ECG ... Fibrillation #VFib #S4C ... #ultrasound #Cardiology
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