11 results
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 = a washout of the contrast (agitated saline) in the right atrium in
patient with an ASD ... effect #washout #ASD ... #atrial #septal ... Echocardiogram #clinical #cardiology ... #pocus
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(RA), left ventricle ... (LV) and left atrium ... orientation of the septum ... #Clinical #EM # ... Cardiology #POCUS
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 ... cardiac surgery, endocarditis ... scoring #criteria #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Glomerulonephritis Septic ... Paradoxical emboli via ASD ... • Left sided > Right ... diagnosis #management #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... or PFO with left ... Differential #Diagnosis #cardiology ... echocardiogram #s4c #pocus
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
>LAP as atrial septum ... shifts left ... stretched PFO or ASD ... Echocardiogram #clinical #pocus ... intrapulmonary #cardiology
Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
interventricular septum ... (S), left ventricle ... (LV), left atrium ... #Clinical #EM #Cardiology ... #POCUS #Parasternal
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... tumor embolism Septic ... • Left sided > Right ... Differential #Diagnosis #cardiology
Cardiac LV Thrombus on Echocardiogram Short-Axis View (PSAX)
48 year old woman in ICU for acute ischemic
What are the next POCUS ... maybe consider contrast ... tests are not POCUS ... : serial blood cultures ... PSAX #clinical #cardiology