15 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 ... Ivan_Echocardio #atrial ... septal #defect #ASD ... #clinical #cardiology
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 #POCUS ... Echocardiogram #A4C
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
Consider BCx, CSF ... evaluation as 5 ... 97% specificity 2) ... with CXR, obtain ... suggested if: - ANC
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
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
pathway between the atria ... known as the bundle ... (Delta wave) 2 ... Electrocardiogram #Clinical ... #Diagnosis
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
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Giant dilated left atrium ... Echocardiogram (a4c ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #clinical #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... ankle swelling. 2. ... un lymphatic Diagnostic ... → no signs of CXR ... congestion. 2.
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... disease b) CHF ... Change in clinical ... CARP, DECREASE V trials ... stratification #diagnosis
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary