13 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... previously undiagnosed ASD ... septal #defect #ASD ... #clinical #cardiology ... #pocus #shunting
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Septal Defect (ASD ... with dyspnea - ASD ... Septal #Defect #ASD ... #clinical #pocus ... #bubble #Shunting
Central Line Confirmation on POCUS Echocardiogram - Saline Bubble Study

Tired of waiting for the CXR to
- Saline Bubble ... Use POCUS instead ... cheaper, faster, and ... #BubbleStudy #clinical ... #s4c #a4c
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... that extends up and ... #MitralValve #Endocarditis ... #clinical #cardiology ... #a4c #plax
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
contrast (agitated saline ... patient with an ASD ... effect #washout #ASD ... septal #defect #a4c ... #cardiology #pocus
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... opacification by agitated saline ... Diagnosis #cardiology #clinical ... echocardiogram #s4c ... #pocus #bubble
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
defect on cardiac POCUS ... oddly satisfying bubble ... #Study #ASD #Atrial ... #SeptalDefect #Clinical ... Echocardiogram #A4C
Saline Flush Central Line Confirmation on POCUS Echocardiogram
Central line in → Rapid flush → See bubbles
Rapid flush → See bubbles ... policy/practice - Bubbles ... on right side and ... Echocardiogram #clinical ... #s4c #saline #flush
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Using IV heroin • Negative ... Clips 1 and 2 demonstrate ... #Clinical #POCUS ... Echocardiogram #PLAX ... #Infective #Endocarditis
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
you see on this saline ... Early transit of bubbles ... stretched PFO or ASD ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary