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

An elderly patient with dyspnea -
Atrial Septal Defect ... Echocardiogram with Contrast ... (a4c) An elderly ... #a4c #clinical ... #pocus #bubble #
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... atrial #septal # ... defect #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram (a4c ... Ivan_Echocardio #atrial ... #clinical #cardiology ... #pocus #shunting
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... Here you see a vegetation ... #MitralValve #Endocarditis ... #clinical #cardiology ... #a4c #plax
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... Diagnosis #cardiology #clinical ... echocardiogram #s4c ... #pocus #bubble
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
Using IV heroin • Negative ... consistent with a vegetation ... secondary to endocarditis ... #Clinical #POCUS ... #MitralValve #Vegetation
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... • Coagulase-negative ... formation • Other vegetations ... Marantic (NTBE) Differential ... -mm left sided vegetations
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... Libman Sacks) • Atrial ... aureus, Coagulase-negative ... -mm left sided vegetations ... #Differential #
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
on this saline contrast ... as RAP>LAP as atrial ... stretched PFO or ASD ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Echocardiogram (A4C ... maybe consider contrast ... considered (principally vegetation ... : serial blood cultures ... #clinical #cardiology