6 results
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
saline) in the right ... patient with an ASD ... #washout #ASD # ... #a4c #Echocardiogram ... clinical #cardiology #pocus
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Etiology: • Direct ... • Paradoxical: Right ... prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis ... Embolism #diagnosis #differential
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right ... Small secundum ASD ... echocardiogram #s4c ... #pocus #bubble
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Coagulase-negative ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... • Left sided > Right ... Substance use: R > L Tricuspid
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... Paradoxical emboli via ASD ... • Left sided > Right ... substance use: R > L Tricuspid ... #Differential #
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