11 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... previously undiagnosed ASD ... Ivan_Echocardio #atrial ... septal #defect #ASD ... #pocus #shunting
Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical
alternans on the ... ECG. ... PericardialEffusion #Clinical #POCUS ... #Echocardiogram ... #Cardiology
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
(PLAX and M-Mode ... demonstrating ECG ... #malignant #clinical ... #cardiology #pocus ... #alternans
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... defect on cardiac POCUS ... #Study #ASD #Atrial ... SeptalDefect #Clinical #Cardiology ... #POCUS #Echocardiogram
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
- Differential ... Small secundum ASD ... #Diagnosis #cardiology ... #clinical #echocardiogram ... #s4c #pocus #bubble
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (- ... HCM #clinical #echocardiogram ... #plax #cardiology ... #pocus
Persistent Left Superior Vena Cava and Unroofed Coronary Sinus
Bubble study for cryptogenic stroke.  Left arm
Superior Vena Cava and ... Coronary Sinus Bubble ... ) & RA or both atria ... #echocardiogram ... #pocus #psax
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Double Shunt on Echocardiogram ... Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD ... #clinical #pocus
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Non-Infectious (NTBE): • Malignancy ... Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Differential Diagnosis ... Non-Infectious (NTBE): • Malignancy ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG