6 results
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
failure • Altered mental ... Using IV heroin • Negative ... Clips 1 and 2 demonstrate ... a mobile mitral ... Clinical #POCUS #Echocardiogram
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Giant dilated left ... (a4c) It belongs ... Mitral valve doesn ... aneurysm idiopathic. 2. ... ASD with R/L shunting
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... to right shunt 2. ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
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 ... 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 ... aureus, Coagulase-negative ... tumor embolism Septic ... #Endocarditis #Differential
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
bubbles = PFO 2. ... >LAP as atrial septum ... In addition to dilated ... stretched PFO or ASD ... clinical #pocus #a4c