DeWinter twaves sign a4c echocardiogram strain cardiac clinical psax anomalous return rvstrain

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This is a parasternal short axis view in a patient with extensive pulmonary emboli on CTA.

evidence of RV strain ... Emergency Physician #Clinical ... #POCUS #Cardiac ... #Echocardiogram ... #PSAX #DSign #RVStrain

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Total Anomalous Pulmonary Venous Return (TAPVR)

Here's the bedside Echo of an 8-week-old boy who presented to

Total Anomalous ... I've labeled the cardiac ... (This causes ↑ strain ... #POCUS #Echocardiogram ... #Clinical #A4C

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