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

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... defect on cardiac ... #Study #ASD #Atrial ... #SeptalDefect #Clinical ... #Cardiology #POCUS
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
comprises four defects ... (VSD) 2. ... concave Pulmonary Artery ... #Chest #XRay #CXR ... #clinical #radiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... Etiology: • Direct ... Minor: • < 25% stenosis ... prosthetic valve, PFO, ASD ... , h/o of cardiac
Severe Mitral Stenosis- The physical examination revealed a right parasternal heave, a loud S1, a midpeaking
murmur (grade 2/ ... low-pitched diastolic rumble ... source for video) #clinical ... #doppler #radiology ... #cardio
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Cardiac: • Valvular ... Decompensated HF ... wide-complex tachycardia: bundle ... cardioversion 2. ... severe mitral stenosis
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
in Right Atrium ... Small secundum ASD ... to right shunt 2. ... #clinical #echocardiogram ... #s4c #pocus #bubble
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... regurgitation or stenosis ... → no signs of CXR ... epicardial coronary artery ... Consider cardiac
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(2) Lvef 25-30% ... (4) All 4 cardiac ... (7) patient in atrial ... CHF @echocardiography_tips ... #cardiology #a4c
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 ... , and later (after ... PVeins (extra-cardiac
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... disease b) CHF ... Change in clinical ... Severe Aortic stenosis ... postoperative cardiac