8 results
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... #washout #ASD # ... atrial #septal # ... #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 ... #septal #defect ... #ASD #Bubble #Contrast ... #pocus #shunting
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... Small secundum ASD ... Differential #Diagnosis #cardiology ... echocardiogram #s4c #pocus
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (- ... Metoprolol - VCU Ultrasound ... echocardiogram #plax #cardiology ... #pocus
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... • Coagulase-negative ... Glomerulonephritis Septic ... Paradoxical emboli via ASD ... diagnosis #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
fatigue, altered mental ... importantly, bedside ultrasound ... ECG is vital while ... have achieved negative ... algorithm #management #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
on this saline contrast ... >LAP as atrial septum ... stretched PFO or ASD ... Echocardiogram #clinical #pocus ... intrapulmonary #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... aureus, Coagulase-negative ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #cardiology