9 results
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
saline) in the right ... with an ASD ... effect #washout #ASD ... #defect #a4c #Echocardiogram ... clinical #cardiology #pocus
Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View

RCM is a disease of diastole —> severe
View RCM is a disease ... like asd in 4ch ... An ASD with atria ... #clinical #pocus ... #cardiology #a4c
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Diagnosis 1. ... Small secundum ASD ... #clinical #echocardiogram ... #s4c #pocus #bubble
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
incomplete Kawasaki Disease ... should be given to children ... #Diagnosis #Peds ... #Pediatrics #Kawasaki ... #Disease #Incomplete
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... • Coagulase-negative ... Malaise, fatigue, weight ... Differential Diagnosis ... Paradoxical emboli via ASD
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
• Enteric gram negative ... from contiguous focus ... liver #abscess #pediatrics ... #children #peds ... #differential #diagnosis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Differential Diagnosis ... Libman Sacks) • Atrial ... aureus, Coagulase-negative ... staphylococci Culture Negative ... Paradoxical emboli via ASD
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
end-stage liver disease ... >LAP as atrial septum ... stretched PFO or ASD ... #clinical #pocus ... #a4c #intrapulmonary
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Mets = Climbing a flight ... Ischemic heart disease ... Cataract Plan for Meds ... CARP, DECREASE V trials ... stratification #diagnosis