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cardiology clinical endocarditis 1: 2 aliem apical apicalfourchamber contrast differential doubleshunt echocardiogram fourchamber infectiousdiseases intrapulmonary management saline
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
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 ... stretched PFO or ASD ... #a4c #intrapulmonary
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Differential Diagnosis ... , verrucous) - Lung ... Libman Sacks) • Atrial ... lesions • Mycotic aneurysm ... tumor embolism Septic
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