11 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
ASD Secundum with Bidirectional Shunting on Echocardiogram (A4c) with Contrast
Male , 50y/o, previous anterior MI with
ASD Secundum with ... pretibial oedema - ASD ... MilicicaStefano #ASD ... #cardiology #pocus ... #a4c #contrast
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
patient with an ASD ... effect #washout #ASD ... septal #defect #a4c ... Echocardiogram #clinical ... #cardiology #pocus
X-ray limitations
It’s important to know the limitations of X-rays so we can correctly interpret them in
X-ray limitations ... interpret them in clinical ... Care UltraSound (POCUS ... #Diagnosis #Radiology ... ChestXRay #KUB #CXR
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... #cardiology #clinical ... echocardiogram #s4c ... #pocus #bubble
Sternal fracture on POCUS. 

It’s super easy! Place linear probe in long axis over point of
Sternal fracture ... than CXR & can ... diagnose (+ r/o ... Xray read as normal ... #Clinical #POCUS
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
US beats CXR on ... Most CXR are wasted ... diagnosis; the ... completely replace x-ray ... POCUS #clinical
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
stretched PFO or ASD ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary ... #cardiology #saline ... #contrast
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... Cataract Plan for Meds ... one post op Cardiology ... risk Chest X-ray ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This patient’s clinical ... clinical judgement ... This post will focus ... (CXR), try rotating ... not seen on a CXR