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Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(RA), left ventricle ... (LV) and left atrium ... orientation of the septum ... #Clinical #EM # ... Cardiology #POCUS
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
sinus rhythm... 1. ... This can be LA aneurysm ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram ... #pocus
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 ... #cardiology
This is a parasternal long axis view of a young patient presenting with 3 days of
the OR in under 1 ... left atrium should ... Michael Macias, EM ... University #Clinical #EM ... #Radiology #POCUS
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
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
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
1. ... Small secundum ASD ... or PFO with left ... echocardiogram #s4c ... #pocus #bubble
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Infective/marantic endocarditis ... annular plane into left ... atrium. ... #Differential #Diagnosis ... #Cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
>LAP as atrial septum ... shifts left ... stretched PFO or ASD ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary
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 1) ... second ribs.1 ... #Radiology #CTChest