19 results
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
(ASD) with Shunting ... with dyspnea - ASD ... Septal #Defect #ASD ... #a4c #clinical ... #pocus #bubble #
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... previously undiagnosed ASD ... septal #defect #ASD ... #clinical #cardiology ... #pocus #shunting
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
saline) in the right ... with an ASD ... effect #washout #ASD ... #clinical #cardiology ... #pocus
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Atrium - Differential ... Small secundum ASD ... shunt 2. ... #Atrium #RA #Differential ... #pocus #bubble
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
• Paradoxical: Right ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis ... Embolism #diagnosis #differential
Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View

RCM is a disease of diastole —> severe
like asd in 4ch ... An ASD with atria ... Echocardiogram #clinical ... #pocus #echocardiogram ... #cardiology #a4c
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... anatomic shunt (Type 2) ... Clinical Presentation ... cardiac cycles after right ... gas (ABC) analysis
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
Management Summary ... Clinical features ... loss, fatigue, night ... Budd Chiari syndrome ... abdominal CT scan with contrast
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... • Left sided > Right ... #diagnosis #management
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
syndrome #1: Pulm ... >LAP as atrial septum ... stretched PFO or ASD ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary