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cardiology echocardiogram aliem atrium contrast differential 1: a4 apical apicalfourchamber bubble contusion ctchest dilated doubleshunt effect fourchamber giant infectiousdiseases intrapulmonary
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
idiopathic. 2. ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
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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 ... Paradoxical emboli via ASD ... #cardiology
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
Small secundum ASD ... or PFO with left ... to right shunt 2. ... #cardiology #clinical ... #pocus #bubble
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 Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
>LAP as atrial septum ... shifts left ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary ... #cardiology #saline
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 Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... clinical judgement ... /50 Rule (part 2) ... #Radiology #CTChest
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