15 results
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
septal defect on cardiac ... #Study #ASD #Atrial ... #SeptalDefect #Clinical ... #Cardiology #POCUS ... Echocardiogram #A4C
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 ... Echocardiogram #A4c ... #clinical #cardiology
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
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Diagnosis Framework ... • Malignancy (e.g ... uncommon - 1 to 2% ... patients with pulmonary ... #Diagnosis #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
pulmonary hypertension ... Early transit of bubbles ... stretched PFO or ASD ... PVeins (extra-cardiac ... #pocus #a4c #intrapulmonary
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... Regurgitation • Colon
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... exam Determine Cardiac ... Change in clinical ... postoperative cardiac ... stratification #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
cardiac function ... with presence of pulmonary ... ECG is vital while ... Cardiac cath if ... #diagnosis #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... QRS complex Pulmonary ... elevation seen > 2 ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
other causes* 2. ... Differential Diagnosis ... cardiomyopathy • Pulmonary ... timing with Cardio-OB ... follow-up with Cardio-OB