16 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram (a4c ... #Bubble #Contrast ... Echocardiogram #a4c ... #clinical #cardiology
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
septal defect on cardiac ... oddly satisfying bubble ... #Study #ASD #Atrial ... SeptalDefect #Clinical #Cardiology ... Echocardiogram #A4C
ASD Secundum with Bidirectional Shunting on Echocardiogram (A4c) with Contrast
Male , 50y/o, previous anterior MI with
ASD Secundum with ... Echocardiogram (A4c ... pretibial oedema - ASD ... Echocardiogram #clinical #cardiology ... #pocus #a4c #contrast
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... #cardiology #clinical ... echocardiogram #s4c ... #pocus #bubble
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... effect #washout #ASD ... septal #defect #a4c ... Echocardiogram #clinical #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... stretched PFO or ASD ... PVeins (extra-cardiac ... clinical #pocus #a4c ... intrapulmonary #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
: • New cardiac ... Paradoxical emboli via ASD ... Diagnosis? ... #diagnosis #management ... #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... tachycardia • S3, S4 ... shock, sudden cardiac ... death Management ... #Management #Cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
prosthetic valve, PFO, ASD ... , h/o of cardiac ... surgery, endocarditis ... Artery #Embolism #diagnosis ... scoring #criteria #cardiology
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
our ED residents and ... benefits of POCUS in diagnosing ... for definitive management ... ultrasound #trauma #cardiology ... #s4c