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cardiology echocardiogram aliem contrast differential effect endocarditis negative s4c apical apicalfourchamber atrium bubble cardiomyopathy constrictive defect fourchamber infectiousdiseases longaxis management
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 #ApicalFourChamber
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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 Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
saline) in the right ... #atrial #septal ... #defect #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
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 Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
runner presents to clinic ... echocardiogram to workup right-heart ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical
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 Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View RCM is a disease of diastole —> severe
septum might look ... An ASD with atria ... Echocardiogram #clinical ... #pocus #echocardiogram ... #cardiology #a4c
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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 ... Abscess, destructive penetrating
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 ... #Clinical #EM #Cardiology ... #POCUS #Parasternal
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Paradoxical emboli via ASD ... • Left sided > Right ... Abscess, destructive penetrating
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Atrium - Differential ... Diagnosis 1. ... Small secundum ASD ... #clinical #echocardiogram ... #s4c #pocus #bubble
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