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

An elderly patient with dyspnea -
(ASD) with Shunting ... with dyspnea - ASD ... #ASD #Echocardiogram ... #Contrast #a4c ... #clinical #pocus
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... previously undiagnosed ASD ... #ASD #Bubble #Contrast ... clinical #cardiology #pocus ... #shunting
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... #contrast #effect ... #washout #ASD # ... #a4c #Echocardiogram
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... #Contrast #Effect ... 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 ... possible abscess ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... 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 ... aureus, Coagulase-negative ... Paradoxical emboli via ASD ... 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 ... children #peds #differential