9 results
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
ventricle (RV), right atrium ... (LV) and left atrium ... #Clinical #EM #Cardiology ... #POCUS #Apical ... #FourChamber #ALiEM
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
atrium on Echocardiogram ... aneurysm idiopathic. 2. ... #atrium #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Septic Emboli Cause ... Paradoxical emboli via ASD ... Substance use: R > L Tricuspid ... diagnosis #management #cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... - Most Common Cause ... non-culprit vessels • Atrial ... cardiac surgery, endocarditis ... scoring #criteria #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Small secundum ASD ... or PFO with left ... to right shunt 2. ... Effect #Right #Atrium
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... Septic emboli cause ... Treat underlying cause ... substance use: R > L Tricuspid ... Differential #Diagnosis #cardiology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
lung disease Caused ... anatomic shunt (Type 2) ... Microbubbles appear in left ... cycles after right atrial ... blood gas (ABC)
Ebstein Anomaly on Echocardiogram

Ebstein anomaly. The tricuspid valve is ALWAYS more apically displaced than the mitral
commonest congenital cause ... with an atrial ... Ebstein #Anomaly #POCUS ... Echocardiogram #cardiology ... #a4c
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 ... #a4c #intrapulmonary ... #cardiology #saline