10 results
ASD Secundum with Bidirectional Shunting on Echocardiogram (A4c) with Contrast
Male , 50y/o, previous anterior MI with
ASD Secundum with ... Bidirectional Shunting ... pretibial oedema - ASD ... #cardiology #pocus ... #a4c #contrast
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Septal Defect (ASD ... with dyspnea - ASD ... Septal #Defect #ASD ... #a4c #clinical ... #pocus #bubble #
ASD Secundum with Bidirectional Shunting on Echocardiogram (A4c) with Color Doppler
Male , 50y/o, previous anterior MI
ASD Secundum with ... Bidirectional Shunting ... pretibial oedema - ASD ... #cardiology #pocus ... #a4c #Bidirectional
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... previously undiagnosed ASD ... septal #defect #ASD ... #clinical #cardiology ... #pocus #shunting
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
patient with an ASD ... effect #washout #ASD ... septal #defect #a4c ... Echocardiogram #clinical ... #cardiology #pocus
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Echocardiogram (a4c ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... Echocardiogram #clinical ... #cardiology #pocus
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... to right shunt 2. ... #Diagnosis #cardiology ... #clinical #echocardiogram ... #s4c #pocus #bubble
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
with end-stage liver ... stretched PFO or ASD ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary ... #cardiology #saline
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... indication of AC ... one post op Cardiology ... Recent PCI/stenting ... risk Chest X-ray
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This patient’s clinical ... clinical judgement ... /50 Rule (part 2) ... seen on a CXR.2 ... bleeding often from a liver