7 results
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... echocardiogram #s4c ... #pocus #bubble
What's the Dx?
• 29-year-old male 
• Transfer community hospital 
• Hypotension
• Renal failure
• Altered mental status.
failure • Altered mental ... Using IV heroin • Negative ... Clips 1 and 2 demonstrate ... consistent with a vegetation ... secondary to endocarditis
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
LAA Thrombus), Valve ... (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
• Coagulase-negative ... Glomerulonephritis Septic ... formation • Other vegetations ... Marantic (NTBE) Differential ... -mm left sided vegetations
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
most commonly affects ... asymptomatic to septic ... Duke Criteria (2 ... Major OR 1 Major ... bacteria, ECHO w/ vegetation
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential ... aureus, Coagulase-negative ... tumor embolism Septic ... -mm left sided vegetations ... #Endocarditis #Differential
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... = PFO 2. ... >LAP as atrial septum ... clinical #pocus #a4c