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

An elderly patient with dyspnea -
(ASD) with Shunting ... with dyspnea - ASD ... Septal #Defect #ASD ... #Contrast #a4c ... clinical #pocus #bubble
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... previously undiagnosed ASD ... Ivan_Echocardio #atrial ... septal #defect #ASD ... #Bubble #Contrast
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
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
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
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Heart Disease - Mitral ... (1) Thickened ... spontaneous echo contrast ... (7) patient in atrial ... clinical #cardiology #a4c
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
- Most Common Cause ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis ... Embolism #diagnosis #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... Treat underlying cause
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... mitral regurgitation ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... #Differential #
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... peripheral vs axial ... lasting > 30 mins - 1 ... weeks) Can Be Caused ... • Bacterial endocarditis