10 results
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Differential Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... #clinical #echocardiogram ... #s4c #pocus #bubble
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... venous origin of CE material ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... #Coronary #Artery
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
presents with 1 ... wall thickening and ... appearance of heart on CXR ... large pericardial effusion ... #Cardiology #A4C
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
either due to a diffusion-perfusion ... defect (Type 1) ... anatomic shunt (Type 2) ... right atrial passage ... gas (ABC) analysis
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
sinus rhythm... 1. ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #a4c #Echocardiogram ... #clinical #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... >LAP as atrial septum ... stretched PFO or ASD ... , and later (after ... clinical #pocus #a4c
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
presents with 1 ... wall thickening and ... appearance of heart on CXR ... large pericardial effusion ... #Cardiology #S4C
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
ankle swelling. 2. ... laterally displaced ... pleural effusions ... → no signs of CXR ... epicardial coronary artery
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
- A4C Pt sent to ... BUN/Cr- 128/9.4. ... Dialysis stopped after ... 1 hour. ... #cardiology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
interventional radiology ... immediate treatment 1. ... 200–300 mL/h) 2. ... day 3–10; 2–4 days ... , SOB, pleural effusions