13 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 ... Echocardiogram #A4C
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Etiology: • Direct ... Angiography or Cardiac ... , h/o of cardiac ... Artery #Embolism #diagnosis ... #differential #
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 ... echocardiogram #s4c ... #pocus #bubble
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Cardiac: • Valvular ... cardioversion 2. ... Moderate or severe mitral ... Fibrillation #AFib #diagnosis ... #management #cardiology
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Heart Disease - Mitral ... (2) Lvef 25-30% ... (4) All 4 cardiac ... (7) patient in atrial ... #a4c #thrombus
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
thickening or mobile ... plane into left atrium ... muscle injury: Direct ... Primary #Functional #Differential ... #Diagnosis #Cardiology
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
life: 1 week • Direct ... Skeletal muscle, cardiac ... Skeletal muscle, Cardiac ... liver #chemistry #diagnosis ... #differential #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... #management #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... = PFO 2. ... as RAP>LAP as atrial ... PVeins (extra-cardiac ... clinical #pocus #a4c
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Liver Injury - Differential ... Diagnosis Algorithm ... liver disease: > 2 ... NASH, Chronic viral ... #diagnosis #algorithm