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cardiology clinical echocardiogram aliem atrium contrast differential endocarditis 1: 2 apical apicalfourchamber dilated doubleshunt effect fourchamber giant infectiousdiseases intrapulmonary longaxis
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
Apical 4-chamber (A4 ... (LV) and left atrium ... #Clinical #EM # ... Cardiology #POCUS ... #Apical #A4 #ApicalFourChamber
Giant dilated left atrium on Echocardiogram (a4c) It belongs to a 92-year old lady with a history
This can be LA aneurysm ... Long chronic severe ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram ... #pocus
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 Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
Parasternal Long ... interventricular septum ... (LV), left atrium ... #Clinical #EM #Cardiology ... #POCUS #Parasternal
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Small secundum ASD ... or PFO with left ... #cardiology #clinical ... echocardiogram #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
verrucous) • Lung ... Libman Sacks) • Atrial ... lesions • Mycotic aneurysm ... Glomerulonephritis Septic ... #management #cardiology
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... >LAP as atrial septum ... shifts left ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
, verrucous) - Lung ... Libman Sacks) • Atrial ... lesions • Mycotic aneurysm ... Paradoxical emboli via ASD ... tumor embolism Septic
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