14 results
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... Ivan_Echocardio #Negative ... septal #defect #a4c ... #Echocardiogram ... #clinical #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Diagnosis 1. ... to right shunt 2. ... #Diagnosis #cardiology ... #clinical #echocardiogram
Mitral Valve Endocarditis on POCUS Echocardiogram
2 months of 'FUO'

- Dr. Ernest Fischer @EAFischer

#Mitral #Valve #Endocarditis #Vegetations
Mitral Valve Endocarditis ... on POCUS Echocardiogram ... 2 months of 'FUO ... #clinical #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
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 ... • Typhus, gram-negative ... 2 weeks followed ... Fever #Patterns #Differential
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(1) Thickened ... (2) Lvef 25-30% ... spontaneous echo contrast ... #clinical #cardiology ... #a4c #thrombus
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 ... Clinical #POCUS #Echocardiogram ... PLAX #Infective #Endocarditis
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis ... Major + 1 Minor ... Embolism #diagnosis #differential ... scoring #criteria #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... • Coagulase-negative ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... diagnosis #management #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... bubbles = PFO 2. ... stretched PFO or ASD ... clinical #pocus #a4c ... intrapulmonary #cardiology