10 results
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... #Study #ASD #Atrial ... SeptalDefect #Clinical #Cardiology ... Echocardiogram #A4C ... #Large
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
between the stomach bubble ... with signs of CHF ... that there is a large ... #Clinical #Radiology ... #CXR #CHF #Pleural
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... to right shunt 2. ... #cardiology #clinical ... echocardiogram #s4c ... #pocus #bubble
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
thickening and biatrial ... appearance of heart on CXR ... Has new large pericardial ... effusion in addition ... Echocardiogram #Cardiology
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
thickening and biatrial ... appearance of heart on CXR ... Has new large pericardial ... effusion in addition ... Echocardiogram #Cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
ankle swelling. 2. ... bilateral pleural effusions ... → no signs of CXR ... congestion. 2. ... #management #cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Decompensated HF ... wide-complex tachycardia: bundle ... cardioversion 2. ... Fibrillation #AFib #diagnosis ... #management #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... = PFO 2. ... as RAP>LAP as atrial ... clinical #pocus #a4c ... intrapulmonary #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... indication of AC ... one post op Cardiology ... CARP, DECREASE V trials ... stratification #diagnosis
Summary of Oncologic Emergencies

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