8 results
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
atrium on Echocardiogram ... Mitral valve doesn ... sinus rhythm... 1. ... aneurysm idiopathic. 2. ... a4c #Echocardiogram
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
failure • Altered mental ... Clips 1 and 2 demonstrate ... a mobile mitral ... Clinical #POCUS #Echocardiogram ... PLAX #Infective #Endocarditis
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(1) Thickened ... (2) Lvef 25-30% ... cardiac chambers dilated ... spontaneous echo contrast ... (7) patient in atrial
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
LAA Thrombus), Valve ... non-culprit vessels • Atrial ... , PFO, ASD, h/o ... cardiac surgery, endocarditis ... Embolism #diagnosis #differential
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... as RAP>LAP as atrial ... septum shifts left ... In addition to dilated ... clinical #pocus #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 ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD
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 ... tumor embolism Septic ... #Endocarditis #Differential