Practical Clinical Skills
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Echocardiography
Getting Started
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FOCUS - Indications
Dyspnea/ shortness of breath
Chest Pain
Hypotension (including PEA)
Tachycardia
Syncope
Penetrating trauma
Narration
Approach To Exam
Get oriented
Attempt three windows
Windows
Parasternal
Subxiphoid or subcostal
Apical four chamber
Few patients have all windows
Almost all have one
Narration
Typical echo frequency is 2-5MHz
▲ Frequency = ▲ Resolution, ▼ Depth
▼ Frequency = ▼ Resolution, ▲ Depth
High frame rate, small “footprint” probe
“Phased array” ideal
Comes from a point
Easy to image between ribs
Tissue Harmonic Imaging
Doppler for advanced techniques
Narration
Lessons
Case: Constipation.
FOCUS.
✓
Getting Started
.
Orientation Conventions.
Anatomy and Windows.
Parasternal Long Axis.
Parasternal Short Axis.
Subxiphoid Window.
Subxiphoid Long Axis.
Apical Four Chamber.
Suprasternal and Summary.
Author
Dr. Christopher Moore
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