9 results
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(LV) and left atrium ... orientation of the septum ... #Clinical #EM # ... Cardiology #POCUS ... #FourChamber #ALiEM
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, Serial ... trops (-) EM ... HCM + SAM ==> D ... echocardiogram #plax #cardiology ... #pocus
Normal IUP Findings 1) Yolk sac: Round fluid-filled structure within the gestational sac, located in the
endometrium 2) Fetal ... Diagnosis #Clinical #EM ... #Obgyn #Radiology ... TransAbdmonial #POCUS ... FetalPole #NormalIUP #ALiEM
Empty fluid-filled sac within the endometrium. Given the absence of contents, you cannot differentiate gestational vs
contents, you cannot differentiate ... IUP #Clinical #EM ... #Obgyn #Radiology ... #PelvicUS #POCUS ... PseudogestationalSac #ALiEM
Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
interventricular septum ... ventricle (LV), left atrium ... #Clinical #EM #Cardiology ... #POCUS #Parasternal ... LongAxis #PSLA #ALiEM
Tricuspid Valve Endocarditis on POCUS Echocardiogram

Patient with active IVDU presents with fever, sepsis.  More likely
on POCUS Echocardiogram ... frequently have lung ... septic emboli ( ... #clinical #cardiology ... #s4c
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Libman Sacks) • Atrial ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... , verrucous) - Lung ... Libman Sacks) • Atrial ... tumor embolism Septic ... Diagnosis #cardiology
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Infective/marantic endocarditis ... plane into left atrium ... it results from SAM ... Primary #Functional #Differential ... #Diagnosis #Cardiology