9 results
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
saline) in the right ... atrium in a patient ... with an ASD ... #atrial #septal ... #defect #a4c #Echocardiogram
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Atrium - Differential ... Diagnosis 1. ... Small secundum ASD ... #Atrium #RA #Differential ... cardiology #clinical #echocardiogram
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
• Paradoxical: Right ... Venous System/Right ... non-culprit vessels • Atrial ... cardiac surgery, endocarditis ... Embolism #diagnosis #differential
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
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 ... 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
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 ... • Left sided > Right ... #Differential #
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Pain - Arthritis Differential ... peripheral vs axial ... lasting > 30 mins - 1 ... up with pain at night ... • Bacterial endocarditis