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McConnell sign from BMJ case reports (Eng below) ใครที่อยากเคยอ่านเจอว่า เคส Pulmonary embolism สามารถเจอ McConnell sign ได้ให้ลองดูเคสจากเปเปอร์นี้ค่ะ คลิกเข้าไปดูวิดีโอเต็มๆ ชัดมาก สิ่งสำคัญคือ ต้องทำ Apical four chamber ให้เห็นตรงที่ RA ต่อกับ RV ชัด แล้วลองดูการขยับแนวตั้งค่ะ ตรงสามเหลี่ยมยอด apex นี่ขยับเยอะมาก แต่ตรงบริเวณ รอยต่อ tricuspid annulus หรือ mid, base free wall ที่ชี้แทบไม่ขยับขึ้นลง http://casereports.bmj.com/content/2014/bcr-2013-200799.full ใน link มี parasternal long axis, แ
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