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Multiple short axis images through the right and left ventricles are obtained from the base of the heart (atrioventricular (AV) valve level) to the apex. (a) Base of the ventricles: The anterior and posterior mitral valve leaflets are seen in cross section (arrow). The right ventricle (RV) is anterior and on the right, the left ventricle (LV) is posterior and on the left. (b) Mid-ventricular level: The bodies of the anterolateral and posteromedial papillary muscles are visualized in cross section (arrow).

5 cm or that are increasing at a rate greater than 1 cm in 12 months should be referred to a vascular surgeon for possible intervention. When aneurysms become symptomatic they are at significantly increased risk of rupture. Symptoms are nonspecific and include abdominal, back, or flank pain. All symptomatic AAAs should be referred for intervention immediately [18]. Gall Bladder Cholelithiasis is common in the USA. 6 % of women have gall stones [19]. Risk factors include increasing age, female gender, obesity, hemolytic anemia, and oral contraceptive use.

Given the numerous echocardiographic views, judicious selection of imaging planes is essential for the efficient and practical use of this modality; the physical examination is the foundation of this selection process. The following clinical vignettes highlight the “Point of Care” use of bedside echocardiography. 3 Cardiology 43 Fig. 7 Apical four-chamber view with color Doppler over the mitral valve. Severe, posteriorly directed, mitral valve regurgitation. The left atrium (LA) is severely dilated.

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