12 results
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
ventricle (RV), right atrium ... (LV) and left atrium ... orientation of the septum ... #Clinical #EM # ... Cardiology #POCUS
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Cardiomyopathy ... EKG nonspecific, Serial ... trops (-) EM ... echocardiogram #plax #cardiology ... #pocus
Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View

RCM is a disease of diastole —> severe
diastole —> severe atrial ... this degree of atrial ... mistake to avoid: atrial ... An ASD with atria ... #a4c
Auscultation of Split S2 - Differential Diagnosis
 • Normal or physiologic
 • Wide, fixed splitting -Atrial
Diagnosis • Normal ... fixed splitting -Atrial ... septal defect ... - Hypertrophic cardiomyopathy ... #Diagnosis #cardiology
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Diagnosis Algorithm ... Sinus Syndrome • SA ... • Premature atrial ... Monofocal Ectopic Atrial ... • Multifocal Atrial
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
tachycardia (2) Atrial ... (3) SVTs - atrial ... (3) Multifocal atrial ... bradyarrhythmia #ECG #EKG #diagnosis ... #differential
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
syndromes (e.g., long ... capture of the atria ... arrhythmia • Atrial ... #differential # ... cardiology
Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
Parasternal Long ... interventricular septum ... ventricle (LV), left atrium ... #Clinical #EM #Cardiology ... #POCUS #Parasternal
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Effect #Right #Atrium ... #Diagnosis #cardiology ... echocardiogram #s4c ... #pocus #bubble
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Libman Sacks) • Atrial ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... #management #cardiology