12 results
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
patient with an ASD ... #effect #washout ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram ... #clinical #cardiology
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 #Bubble #Contrast ... #clinical #cardiology
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... Pt had mitral valve ... hits the septum ... #MitralValve #Endocarditis ... #a4c #plax
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
failure • Altered mental ... Clips 1 and 2 demonstrate ... a mobile mitral ... PLAX #Infective #Endocarditis ... #MitralValve #Vegetation
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... #Diagnosis #cardiology ... echocardiogram #s4c
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
LAA Thrombus), Valve ... non-culprit vessels • Atrial ... , PFO, ASD, h/o ... cardiac surgery, endocarditis ... scoring #criteria #cardiology
Ebstein Anomaly on Echocardiogram

Ebstein anomaly. The tricuspid valve is ALWAYS more apically displaced than the mitral
displaced than the mitral ... associated with an atrial ... septal defect. ... Echocardiogram #cardiology ... #a4c
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Mitral valve doesn ... sinus rhythm... 1. ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #clinical #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Libman Sacks) • Atrial ... Glomerulonephritis Septic ... Paradoxical emboli via ASD ... #management #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c ... intrapulmonary #cardiology