12 results
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Diagnosis 1. ... Small secundum ASD ... or PFO with left ... #s4c #pocus #bubble
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... saline) in the right ... patient with an ASD ... #washout #ASD # ... #Echocardiogram
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
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... • Coagulase-negative ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... • Left sided > Right
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
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
to Left from Venous ... System/Right Heart ... prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis ... Embolism #diagnosis #differential
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
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... mitral regurgitation ... Paradoxical emboli via ASD ... • Left sided > Right ... #Differential #
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... shifts left ... stretched PFO or ASD ... #clinical #pocus ... #a4c #intrapulmonary
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
The RV is on the left ... here we see it in right ... #Clinical #POCUS ... #Echocardiogram ... #Definity #A4C