10 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 ... 2. ... #s4c #pocus #bubble
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... saline) in the right ... 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. ... aneurysm idiopathic. 2. ... #atrium #a4c #Echocardiogram ... clinical #cardiology #pocus
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
• Paradoxical: Right ... to Left from Venous ... System/Right Heart ... cardiac surgery, endocarditis ... Embolism #diagnosis #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
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
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 ... fevers Fever + Night ... Fever #Patterns #Differential
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 ... • Left sided > Right ... #Differential #
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