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cardiology clinical echocardiogram diagnosis defect effect endocarditis septal 1: 2 atrium doubleshunt infectiousdiseases intrapulmonary management right s4c saline shunting washout
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
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 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
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 Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... #washout #ASD # ... defect #a4c #Echocardiogram ... #pocus
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 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
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... • Coagulase-negative ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Differential Diagnosis ... Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG
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