10 results
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... #washout #ASD # ... 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 ... to right shunt 2. ... #s4c #pocus #bubble
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 #pocus
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
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
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
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Heart Disease - Mitral ... (1) Thickened ... (2) Lvef 25-30% ... spontaneous echo contrast ... clinical #cardiology #a4c
Causes of Myocarditis 
1. Infectious Myocarditis
 • Bacterial - Staphylococcus, Streptococcus, Pneumococcus, Meningococcus, Gonococcus, Salmonella, Corynebacterium
Myocarditis 1. ... immunodeficiency virus-1 ... vaccinia virus 2. ... giant cell. ... Myocarditis #Causes #differential
Causes of Painful Ophthalmoplegia - Differential Diagnosis
 • Trauma
 • Autoimmune:
     1.
Ophthalmoplegia - Differential ... Giant cell arteritis ... Viral: Herpes zoster ... adenoma, meningioma, and ... migraine • Image-negative
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... lasting > 30 mins - 1 ... OLIGOARTHRITIS • 2- ... • Bacterial endocarditis ... aureus • Gram-negative