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cardiology differential echocardiogram effect endocarditis negative aliem apical apicalfourchamber bubble defect em fourchamber infectiousdiseases management ra s4c washout
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
Apical 4-chamber (A4 ... atrium (RA), left ... left atrium (LA ... #Clinical #EM # ... #Apical #A4 #ApicalFourChamber
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
saline) in the right ... atrium in a patient ... #atrial #septal ... #clinical #cardiology ... #pocus
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 Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Atrium - Differential ... Small secundum ASD ... Flow from IVC hampering ... #Atrium #RA #Differential ... #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 ... Glomerulonephritis Septic ... ↑ ESR, CRP • EKG ... • Left sided > Right ... Abscess, destructive penetrating
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Libman Sacks) • Atrial ... tumor embolism Septic ... ↑ ESR, CRP • EKG ... • Left sided > Right ... Abscess, destructive penetrating
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