13 results
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
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Using IV heroin • Negative ... Clips 1 and 2 demonstrate ... a mobile mitral ... applying color Doppler ... Clinical #POCUS #Echocardiogram
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Pulse Pressure - Differential ... • Infective Endocarditis ... • Mitral Regurgitation ... • Mitral Stenosis ... • Myocardial Infarction
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 ... that may lead to infarction ... Paradoxical emboli via ASD
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... - Differential ... Small secundum ASD ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
on Echocardiogram ... (a4c) It belongs ... Mitral valve doesn ... ASD with R/L shunting ... #a4c #Echocardiogram
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Infective/marantic endocarditis ... plane into left atrium ... wall trauma, LV infarction ... from myocardial infarction ... Primary #Functional #Differential
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - Differential ... • Typhus, gram-negative ... Pyogenic/focal infection ... Associated with Relative ... Fever #Patterns #Differential
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 ... that may lead to infarction
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... peripheral vs axial ... By: - Chronic Infection ... • Bacterial endocarditis ... aureus • Gram-negative