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

An elderly patient with dyspnea -
(ASD) with Shunting ... (a4c) An elderly ... with dyspnea - ASD ... #ASD #Echocardiogram ... #Contrast #a4c
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram (a4c ... previously undiagnosed ASD ... #ASD #Bubble #Contrast ... Echocardiogram #a4c
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Diagnosis 1. ... Small secundum ASD ... echocardiogram #s4c ... #pocus #bubble
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... (Vegetation, Thrombus ... , PFO, ASD, h/o ... cardiac surgery, endocarditis ... Embolism #diagnosis #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
formation • Other vegetations ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... than 5 to 7 days after ... -mm left sided vegetations
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... stretched PFO or ASD ... , and later (after ... clinical #pocus #a4c
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... Paradoxical emboli via ASD ... than 5 to 7 days after ... -mm left sided vegetations ... #Endocarditis #Differential
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... • Libman-Sacks endocarditis ... /LAC: • Renal artery ... Cytopenias • Cardiac valve ... vegetations APLA