10 results
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(LV) and left atrium ... of the septum #Clinical ... #EM #Cardiology ... #POCUS #Apical ... #FourChamber #ALiEM
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
Management Summary Clinical ... and a palpable abdominal ... night sweats, fever ... Varicocele(left) ... CT scan with contrast
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Differential Diagnosis 1. ... ASD or PFO with left ... to right shunt 2. ... #clinical #echocardiogram ... #s4c #pocus #bubble
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
sinus rhythm... 1. ... Long chronic severe ... #atrium #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
This is a parasternal long axis view of a young patient presenting with 3 days of
the OR in under 1 ... aortic root, and left ... atrium should roughly ... #EM #Radiology ... #POCUS #CardiacUS
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Echocardiogram (1) ... (2) Lvef 25-30% ... spontaneous echo contrast ... (7) patient in atrial ... #cardiology #a4c
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... Clinical Presentation ... < 96% detects severe ... Microbubbles appear in left ... cycles after right atrial
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
as RAP>LAP as atrial ... septum shifts left ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary ... #cardiology #saline
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... one post op Cardiology ... Severe Aortic stenosis ... undergoing AAA or upper abdominal ... CARP, DECREASE V trials
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) ... /50 Rule (part 2) ... consider intra-abdominal