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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 ... #Diagnosis #cardiology ... echocardiogram #s4c ... #pocus #bubble
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
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
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Echocardiogram (A4C ... PMHx recent CHF, ... What are the next POCUS ... : serial blood cultures ... #clinical #cardiology
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
CT will also demonstrate ... be high in the differential ... diagnostic list ... #Clinical #Radiology ... #CTChest #CHF #
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 ... disease b) CHF ... postoperative cardiac ... stratification #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ADHF typically fall ... into 1 of 4 recognized ... Cardiac cath if ... #diagnosis #differential ... #heartfailure #chf
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... Hypokalemia • Bundle ... Diagnosis: • PAC ... #differential # ... cardiology