11 results
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
(ASD) with Shunting ... with dyspnea - ASD ... Septal #Defect #ASD ... #pocus #bubble # ... Shunting
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 ... #Bubble #Contrast ... #shunting
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
saline) in the right ... with an ASD ... effect #washout #ASD ... #defect #a4c #Echocardiogram ... clinical #cardiology #pocus
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Diagnosis 1. ... Small secundum ASD ... echocardiogram #s4c ... #pocus #bubble
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
pulmonary hypertension ... Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD ... #a4c #intrapulmonary
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
, 88% spec • Contrast-enhanced ... cardiac cycles after right ... gas (ABC) analysis ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
material) was required ... described for Pulmonary ... here we see it in right ... #Clinical #POCUS ... Echocardiogram #Definity #A4C
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Culture (+): Acute ... Cerebral > Splenic, pulmonary ... Paradoxical emboli via ASD ... • Left sided > Right
Total Anomalous Pulmonary Venous Return (TAPVR)

Here's the bedside Echo of an 8-week-old boy who presented to
to the ER with acute ... drains back to the Right ... through a small ASD—keeping ... Venous #Return #POCUS ... Echocardiogram #Clinical #A4C
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
time again we might ... / hypoxemia -> focus ... cardiac output - Acute ... pulmonary edema ... peritonitis - Acute