11 results
ASD Secundum with Bidirectional Shunting on Echocardiogram (A4c) with Contrast
Male , 50y/o, previous anterior MI with
ASD Secundum with ... pretibial oedema - ASD ... MilicicaStefano #ASD ... Echocardiogram #clinical #cardiology ... #pocus #a4c #contrast
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... #washout #ASD # ... septal #defect #a4c ... #pocus
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... to right shunt 2. ... #Diagnosis #cardiology ... #pocus #bubble
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... Diagnosis Framework ... uncommon - 1 to 2% ... may have false negative ... #Diagnosis #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
stretched PFO or ASD ... PVeins (extra-cardiac ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary ... #cardiology #saline
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
prosthetic valve, PFO, ASD ... , h/o of cardiac ... Artery #Embolism #diagnosis ... #differential # ... scoring #criteria #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Coagulase-negative ... : • New cardiac ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... #management #cardiology
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Phos), CBC with differential ... Pyridostigmine - New diagnosis ... capacity: Monitor 2- ... Do not measure negative ... magnesium, IV contrast
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... one post op Cardiology ... risk Chest X-ray ... postoperative cardiac ... stratification #diagnosis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Differential Diagnosis ... aureus, Coagulase-negative ... Paradoxical emboli via ASD ... #Endocarditis #Differential ... #Diagnosis #cardiology