11 results
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 ... #pocus #shunting
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... (ASD) with Shunting ... with dyspnea - ASD ... Septal #Defect #ASD ... #pocus #bubble #
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... #RA #Differential ... echocardiogram #s4c ... #pocus #bubble
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... defect on cardiac POCUS ... #Study #ASD #Atrial ... SeptalDefect #Clinical #Cardiology ... #A4C #Large
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
patient with an ASD ... effect #washout #ASD ... #defect #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... McConnell's sign, and ... additional clot seen in RA ... Echocardiogram #A4c
Atrial Myxoma on Echocardiogram

RA Myxoma. Preop MRI tissue characterization suggested clot !!! When surgically removed there
Atrial Myxoma on ... Echocardiogram RA ... of tumor mass and ... #clinical #cardiology ... #POCUS #s4c
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... contract nearly ... abrupt rise in RA ... EKG of the same ... excludes other differentials
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... other) causing ⬆️ RA ... as atrial septum ... stretched PFO or ASD ... #a4c #intrapulmonary
Endocarditis Summary

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