11 results
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... ) in the right atrium ... Ivan_Echocardio #Negative ... 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
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
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 ... arthritis • Infective ... Fever #Patterns #Differential
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
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
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... 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
on this saline contrast ... 1. ... as RAP>LAP as atrial ... stretched PFO or ASD ... clinical #pocus #a4c
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... involves aortic and mitral ... Libman Sacks) • Atrial ... aureus, Coagulase-negative ... #Differential #
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... lasting > 30 mins - 1 ... By: - Chronic Infection ... • Bacterial endocarditis ... aureus • Gram-negative