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Calcified Apical Thrombus on Echocardiogram
Laminar calcified apical thrombus causing extensive shadowing (signal void). Note how the

field due to beam widening ... cardiology #artifact #pocus

This is a parasternal long axis view of a young patient presenting with 3 days of

regurgitation and widening ... EM #Radiology #POCUS

Common sodium channel blockers which cause QRS widening.

Anticonvulsants:
- Carbamazepine
Antidysrhythmics:
- Group

which cause QRS widening ... Adriamycin #QRS #widening

Mediastinal Widening - Differential Diagnosis

• Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or

Mediastinal Widening ... #Mediastinal #Widening

Hyperkaelemia ECG Features - With mild to moderate hyperkalemia, there is reduction of the size of

hyperkalemia results in a widening

Hypomagnesemia (Serum level < 1.7 mg/dL)
Neuromuscular manifestations
• Tremor, tetany, seizures
• Weakness

Prolonged QTc • Widening

Hyperkalemia - Management Algorithm
• IV calcium
• IV insulin and glucose and/or salbutamolt
• Consider

amplitude of P waves, Widening ... shift, Progressive widening

This is what a shoulder dislocation looks like on US before and after reduction. Focus on

Focus on the joint ... EM_RESUS #Clinical #POCUS

Focus Assessed Transthoracic Echo (FATE) - Basic FATE views

Pos 1: Subcostal 4-chamber

Pos 2: Apical 4-chamber

Pos 3:

Focus Assessed Transthoracic ... Echocardiogram #POCUS

Major electrocardiogram findings induced by left ventricular hypertrophy (LVH)
An increase in left ventricular mass augments the

associated with widening

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