8 results
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... #atrial #septal ... #defect #a4c #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 ... #Clinical #EM #Cardiology ... #POCUS #Apical ... #FourChamber #ALiEM
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... or PFO with left ... to right shunt 2. ... Differential #Diagnosis #cardiology ... #pocus #bubble
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
aneurysm idiopathic. 2. ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram ... #clinical #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 ... Paradoxical emboli via ASD ... Endocarditis #diagnosis #management ... #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
as RAP>LAP as atrial ... septum shifts left ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary ... #cardiology #saline
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- Cataract Plan ... indication of AC ... one post op Cardiology ... CARP, DECREASE V trials ... medical and surgical management
If the patient has a HEART Score of 0-3 and a negative initial troponin, have a
, there is a < 2 ... stratification is left ... at the time of arrival ... #Management #PatientInfo ... #Cardiology #ChestPain