10 results
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
1. ... Small secundum ASD ... or PFO with left ... #cardiology #clinical ... echocardiogram #s4c #pocus
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... Paradoxical: Right to Left ... non-culprit vessels • Atrial ... #Embolism #diagnosis ... scoring #criteria #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Late appearance ... as RAP>LAP as atrial ... septum shifts left ... Echocardiogram #clinical #pocus ... intrapulmonary #cardiology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
absence of intrinsic lung ... diffusion-perfusion defect (Type 1) ... Microbubbles appear in left ... right atrial passage ... on radioactive lung
This is a parasternal long axis view of a young patient presenting with 3 days of
the OR in under 1 ... aortic root, and left ... atrium should roughly ... Michael Macias, EM ... #Radiology #POCUS
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
sinus rhythm... 1. ... Long chronic severe ... ASD with R/L shunting ... #clinical #cardiology ... #pocus
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
MCL), brachial artery ... Splint: Posterior long ... follow-up within 1 ... MH/CCF/CWRU EM ... #XRay #Diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... than 5 to 7 days after ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
, verrucous) - Lung ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... than 5 to 7 days after ... #cardiology #infectiousdiseases
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... /50 Rule (part 1) ... and second ribs.1 ... #Lung #Pulmonary