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cardiology echocardiogram diagnosis em endocarditis a4 apical apicalfourchamber asd cardiomyopathy contrast defect differential effect fourchamber infectiousdiseases longaxis management negative parasternal
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
atrium (RA), left ... orientation of the septum ... #Clinical #EM # ... Cardiology #POCUS ... #FourChamber #ALiEM
Huge right atrial myxoma on POCUS Echocardiogram Notice the typical attachment to the inter-atrial septum (fossa ovalis)
Huge right atrial ... myxoma on POCUS ... septum (fossa ovalis ... #myxoma #POCUS ... Echocardiogram #clinical
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 Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View RCM is a disease of diastole —> severe
Restrictive Cardiomyopathy ... septum might look ... Echocardiogram #clinical ... #pocus #echocardiogram ... #cardiology #a4c
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 Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
saline) in the right ... #septal #defect ... #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 ... myxoma • Hypercoagulable ... Glomerulonephritis Septic ... • Left sided > Right ... penetrating lesions
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 ... #POCUS #Parasternal ... LongAxis #PSLA #ALiEM
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... tumor embolism Septic ... • Left sided > Right ... penetrating lesions
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