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

An elderly patient with dyspnea -
Atrial Septal Defect ... (ASD) with Shunting ... 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 ... previously undiagnosed ASD ... Ivan_Echocardio #atrial ... #septal #defect ... #ASD #Bubble #Contrast
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
1. ... Small secundum ASD ... to right shunt 2. ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... bubbles = PFO 2. ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
on Echocardiogram ... sinus rhythm... 1. ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #a4c #Echocardiogram
Antenatal / Prenatal Care Schedule 
At Every Visit: Weight, Blood pressure, Psychosocial screening, Counseling re. Indications
• ± Prenatal diagnosis ... 6 movements in 2 ... Care #Schedule #Diagnosis ... Timeline #Evaluation #Obstetrics ... #OBGyn #Trimester
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
- Differential Diagnosis ... analgesia 2. ... compression (using ultrasound ... #Management #obstetrics ... #obgyn
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
(see below for diagnosis ... Pearls: #1 Confirm ... an IUP or not. #2 ... POCUS #clinical #obgyn ... #obstetrics
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(1) Thickened ... (2) Lvef 25-30% ... spontaneous echo contrast ... (7) patient in atrial ... clinical #cardiology #a4c