10 results
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
Apical 4-chamber (A4 ... orientation of the septum ... #Clinical #EM #Cardiology ... POCUS #Apical #A4 ... #FourChamber #ALiEM
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
echocardiogram to workup right-heart ... mitral annular ... velocity of 9.5 cm/sec ... Echocardiogram #a4c ... pocus #clinical #cardiology
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
saline) in the right ... atrium in a patient ... #septal #defect ... #a4c #Echocardiogram ... #clinical #cardiology
Huge right atrial myxoma on POCUS Echocardiogram

Notice the typical attachment to the inter-atrial septum (fossa ovalis)
Huge right atrial ... septum (fossa ovalis ... @EduPOCUS #atrial ... Echocardiogram #clinical #cardiology ... #s4c #ultrasound
Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View

RCM is a disease of diastole —> severe
this degree of atrial ... septum might look ... An ASD with atria ... echocardiogram #cardiology ... #a4c
Ebstein Anomaly on Echocardiogram

Ebstein anomaly. The tricuspid valve is ALWAYS more apically displaced than the mitral
displaced than the mitral ... associated with an atrial ... septal defect. ... Echocardiogram #cardiology ... #a4c
Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
Note the right ventricle ... interventricular septum ... ventricle (LV), left atrium ... (LA), anterior mitral ... LongAxis #PSLA #ALiEM
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Contrast Effect in Right ... Atrium - Differential ... #Atrium #RA #Differential ... #Diagnosis #cardiology ... echocardiogram #s4c
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... Libman Sacks) • Atrial ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... involves aortic and mitral ... Libman Sacks) • Atrial ... tumor embolism Septic ... #Endocarditis #Differential