10 results
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(A4) Apical 4 Chamber ... septum #Clinical #EM ... #Cardiology #POCUS ... #Apical #A4 #ApicalFourChamber ... #FourChamber #ALiEM
Normal IUP Findings 1) Yolk sac: Round fluid-filled structure within the gestational sac, located in the
the endometrium 2) ... #Diagnosis #Clinical ... #EM #Obgyn #Radiology ... TransAbdmonial #POCUS ... FetalPole #NormalIUP #ALiEM
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
absence of intrinsic lung ... anatomic shunt (Type 2) ... blood gas (ABC) ... cirrhosis • Intra-pulmonary ... on radioactive lung
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
McConnell's Sign on POCUS ... Echocardiogram 2 ... patients w/ different diagnoses ... strain related to pulmonary ... #a4c #labeled
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Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... to right shunt 2. ... #cardiology #clinical ... echocardiogram #s4c ... #pocus #bubble
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Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
valve doesn’t look typical ... aneurysm idiopathic. 2. ... Long chronic severe ... #clinical #cardiology ... #pocus
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Transesophageal Echocardiogram (TEE) Windows
1. ME 5-Chamber view 
2. ME 4-Chamber view 
3. ME-Commissural view 
4. ME
ME-Long axis view ... ME Left Atrial Appendage ... Transgastric Apical ... Windows #Views #diagnosis ... #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... as RAP>LAP as atrial ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary ... #cardiology #saline
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Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... days before Pulmonary ... unless prior heart/lung ... CARP, DECREASE V trials ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... /50 Rule (part 2) ... #Radiology #CTChest ... #Lung #Pulmonary