11 results
ASD Secundum with Bidirectional Shunting on Echocardiogram (A4c) with Contrast
Male , 50y/o, previous anterior MI with
Bidirectional Shunting ... on Echocardiogram ... (A4c) with Contrast ... #clinical #cardiology ... #pocus #a4c #contrast
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram ... (a4c) A patient ... Ivan_Echocardio #atrial ... #cardiology #pocus
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
) in the right atrium ... patient with an ASD ... #atrial #septal ... #defect #a4c #Echocardiogram ... #clinical #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... Triage EKG (no prior ... Differential/diagnosis ... #A4c #clinical ... #cardiology #McConnells
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ECG ... tachycardia ECG ... not gradual in contrast ... #diagnosis #ekg ... electrocardiogram #clinical #comparison
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... #Diagnosis #cardiology ... #clinical #echocardiogram ... #s4c #pocus #bubble
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... and ventricles contract ... to JV when RA contracts ... EKG of the same ... excludes other differentials
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Multifocal Atrial ... rhythm, in sharp contrast ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram ... #comparison
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Double Shunt on Echocardiogram ... on this saline contrast ... as RAP>LAP as atrial ... stretched PFO or ASD ... clinical #pocus #a4c
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology