16 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 ... #A4C #Large
Cardiac Findings in Sarcoidosis
Most Commonly Affected Sites:
 - LV free wall (esp. basal posterior wall)
 -
Cardiac Findings ... Interventricular septum ... or RWMA - LV Aneurysm ... #Sarcoidosis #Cardiology ... #Involvement #diagnosis
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... #Diagnosis #cardiology ... #pocus #bubble
Intracardiac Septal Masses / Thickening on Echocardiogram - Differential Diagnosis - 4 separate cases:
Case 1: LV
Intracardiac Septal ... cases: Case 1: ... LV Clot Case 2: ... Echocardiogram #clinical #a4c ... #Diagnosis #cardiology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Evaluation: 1. ... sharp/stabbing 2. ... disease • Cardiac ... Thoracic aortic aneurysm ... Pulse deficit/differential
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Angiography or Cardiac ... prosthetic valve, PFO, ASD ... , h/o of cardiac ... Artery #Embolism #diagnosis ... #differential #
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
sinus rhythm... 1. ... This can be LA aneurysm ... idiopathic. 2. ... ASD with R/L shunting ... #pocus
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... >LAP as atrial septum ... PVeins (extra-cardiac ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
lesions • Mycotic aneurysm ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
stairs, brisk 4 mph walk ... exam Determine Cardiac ... one post op Cardiology ... postoperative cardiac ... stratification #diagnosis