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cardiology diagnosis clinical contrast echocardiogram effect abscess atrial atrium bubble hepatology infectiousdiseases liver management pediatrics peds pyogenic ra right s4c
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
patient with an ASD ... #washout #ASD # ... atrial #septal #defect ... #a4c #Echocardiogram ... clinical #cardiology #pocus
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 Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Negative Contrast ... Atrium - Differential ... Small secundum ASD ... echocardiogram #s4c ... #pocus #bubble
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Endocarditis Summary ... • Coagulase-negative ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... Substance use: R > L Tricuspid
Pyogenic liver abscess in children Common bacterial causes in children: • S.aureus • Strep spp • Enteric
• Enteric gram negative ... infection: • Direct ... from contiguous focus ... artery (e.g., endocarditis ... #peds #differential
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential ... aureus, Coagulase-negative ... Paradoxical emboli via ASD ... substance use: R > L Tricuspid ... #Differential #
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