14 results
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... #contrast #effect ... #washout #ASD # ... defect #a4c #Echocardiogram
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... (ASD) with Shunting ... with dyspnea - ASD ... #ASD #Echocardiogram ... #Contrast #a4c
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram ... previously undiagnosed ASD ... Ivan_Echocardio #atrial ... #ASD #Bubble #Contrast
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Atrium - Differential ... Diagnosis 1. ... Small secundum ASD ... #Contrast #Effect
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 ... #a4c #Echocardiogram
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(1) Thickened ... (2) Lvef 25-30% ... spontaneous echo contrast ... (7) patient in atrial ... clinical #cardiology #a4c
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
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 ... PLAX #Infective #Endocarditis
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... bubbles = PFO 2. ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis ... Major + 1 Minor ... Embolism #diagnosis #differential