17 results
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... #washout #ASD # ... atrial #septal # ... #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

This patient underwent septal myectomy and MV replacement

- Abhilash Koratala MD
Mitral Valve Endocarditis ... patient underwent septal ... #Valve #Endocarditis ... Echocardiogram #clinical #cardiology ... #A4C #S4C
Mitral Valve Infective Endocarditis on POCUS Echocardiogram

IE & HIV & CD4<100 - Oh My!! Time for
Mitral Valve Infective ... Endocarditis on ... daptomycin, pip/tazo and ... Echocardiogram #clinical #a4c ... #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 ... Echocardiogram #clinical #cardiology ... #a4c #plax
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Differentiating NBTE from Infective ... specific to NBTE, and ... cultures/serology: Serial ... negative blood ... Frequent false-negative
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
failure • Altered mental ... Using IV heroin • Negative ... Clips 1 and 2 demonstrate ... a mobile mitral ... Echocardiogram #PLAX #Infective
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Libman Sacks) • Atrial ... • Coagulase-negative ... Paradoxical emboli via ASD ... #management #cardiology
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Whipple's disease Infective ... endocarditis (vegetations ... )/tumor (left atrial ... myxoma)/ball valve ... #differential #cardiology
Ebstein Anomaly on Echocardiogram

Ebstein anomaly. The tricuspid valve is ALWAYS more apically displaced than the mitral
displaced than the mitral ... valve. ... associated with an atrial ... Echocardiogram #cardiology ... #a4c