1020 - cardiac windows & views

Question 1

patient position for PLAX

Answer 1

LLD

Question 2

where should the transducer be placed for PLAX view

Answer 2

left of sternum in 5th intercostal space

Question 3

The indicator in PLAX should point towards

Answer 3

patients right shoulder (10 oclock)

Question 4

PLAX RV inflow is found by

Answer 4

tilting transducer face down to patients right hip (only show right side)

Question 5

how to get to PSAV AoV level from PLAX

Answer 5

rotate 90 degree (2 oclock) to patients left shoulder
angle superior from MV view

Question 6

PSAX MV level is found…

Answer 6

angle inferiorly from AoV level
“fish mouth”

Question 7

PSAX papillary muscle level is found by

Answer 7

Angling more inferiorly from MV level

Question 8

PSAX apex is found by

Answer 8

angling inferiorly, may need to slide down a rib space

Question 9

apical thrombus is assessed in this view

Answer 9

PSAX apex

Question 10

apical 4CH patient position

Answer 10

Steep LLD, arm stretched up

Question 11

notch should point where in apical 4Ch

Answer 11

down towards stretcher then turn slightly towards patients left shoulder

Question 12

transducer placement for apical 4Ch

Answer 12

under left pectoral muscle/left breast tissue, and drop transducer tail down slightly

Question 13

to get apical 5Ch the transducer face should be

Answer 13

tilted anteriorly (tail down) from A4Ch

Question 14

to get apical 3ch from 4ch transducer should be

Answer 14

rotated 120-180 degrees (notch will face the ceiling)

Question 15

apical 3ch notch placement is

Answer 15

toward ceiling

Question 16

apical 2ch is found by

Answer 16

rotating clockwise 60-90 degrees from 13ch

Question 17

subcostal 4ch patient position

Answer 17

patient supine with knees bent

Question 18

in subcostal 4ch indicator points..

Answer 18

to patient left (3 oclock)

Question 19

transducer placement for subcostal 4ch

Answer 19

tuck under ribcage in midline, deep breath in

Question 20

subcostal IVC is found by

Answer 20

rotating transducer 90 degree counterclockwise (CCW) from subcostal 4ch

Question 21

indicator for subcostal IVC should point

Answer 21

up to their chin (12 oclock)

Question 22

to assess RVSP (if IVC collapses)

Answer 22

use “sniff test”

Question 23

what is seen if you angle to patients right in subcostal IVC

Answer 23

IVC connecting to RA

Question 24

what is seen if you angle to patients left in subcostal IVC

Answer 24

aorta

Question 25

suprasternal notch patient position

Answer 25

supine with neck extended

Question 26

indicator for suprasternal notch should

Answer 26

point to chin, angled slightly to patient’s left shoulder (12-1 o’clock)