7 results
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Diagnosis 1. ... or PFO with left ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
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 #pocus
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Mitral valve doesn ... sinus rhythm... 1. ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram ... 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
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 ... • Left sided > Right
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... septum shifts left ... stretched PFO or ASD ... #clinical #pocus ... #a4c #intrapulmonary
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... involves aortic and mitral ... aureus, Coagulase-negative ... staphylococci Culture Negative ... #Differential #