14 results
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... (ASD) with Shunting ... with dyspnea - ASD ... Ivan_Echocardio #Atrial ... Septal #Defect #ASD
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram ... previously undiagnosed ASD ... Ivan_Echocardio #atrial ... septal #defect #ASD
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... oddly satisfying bubble ... #Study #ASD #Atrial ... Cardiology #POCUS #Echocardiogram ... #A4C #Large
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... effect #washout #ASD ... #atrial #septal ... #defect #a4c #Echocardiogram
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Diagnosis 1. ... Small secundum ASD ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
venous origin of CE material ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis ... Embolism #diagnosis #differential
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - Differential ... 38°C with only 1 ... and bacterial infections ... • Typhus, gram-negative ... Fever #Patterns #Differential
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
on Echocardiogram ... Mitral valve doesn ... sinus rhythm... 1. ... ASD with R/L shunting ... #a4c #Echocardiogram
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 ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c