12 results
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
) in the right atrium ... patient with an ASD ... effect #washout #ASD ... #atrial #septal ... #defect #a4c #Echocardiogram
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... 1. ... Small secundum ASD ... or PFO with left ... Effect #Right #Atrium
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Giant dilated left ... atrium on Echocardiogram ... sinus rhythm... 1. ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... Major + 1 Minor ... Artery #Embolism #diagnosis
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
(see below for diagnosis ... pregnancy in the left ... Pearls: #1 Confirm ... POCUS #clinical #obgyn ... #obstetrics
Normal hepatic vein Doppler Ultrasound tracing
1) a large antegrade waveform (negative velocity) noted during early and
tracing 1) a large ... antegrade waveform (negative ... a result of atrial ... wave is caused by atrial ... #tracing #diagnosis
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... >LAP as atrial septum ... shifts left ... stretched PFO or ASD ... clinical #pocus #a4c
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
lung disease, left ... thromboembolism) 1) ... Transthoracic echocardiogram ... ventricular size, Right atrial ... Effect: PATENT-1
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome - Diagnosis ... diffusion-perfusion defect (Type 1) ... Microbubbles appear in left ... cycles after right atrial ... blood gas (ABC)
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... • Coagulase-negative ... Paradoxical emboli via ASD ... • Left sided > Right ... heart failure • Left