12 results
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
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
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
HR 74, JVP 15 cm ... edema, and clear lungs ... Echocardiogram #a4c ... #pocus #clinical ... #cardiology
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
Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View

RCM is a disease of diastole —> severe
Chamber View RCM ... septum might look ... Echocardiogram #clinical #pocus ... echocardiogram #cardiology ... #a4c
This is a parasternal long axis view of a young patient presenting with 3 days of
ultrasound got him ... root, and left atrium ... Michael Macias, EM ... University #Clinical #EM ... #Radiology #POCUS
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