12 results
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... Echocardiogram with Contrast ... #Contrast #a4c ... #clinical #pocus ... #bubble #Shunting
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Ivan_Echocardio #atrial ... #ASD #Bubble #Contrast ... Echocardiogram #a4c #clinical ... #cardiology #pocus
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
) in the right atrium ... #effect #washout ... #ASD #atrial #septal ... #clinical #cardiology ... #pocus
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
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 #POCUS
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... Clinical Presentation ... , 88% spec • Contrast-enhanced ... cycles after right atrial ... cirrhosis • Intra-pulmonary
Polo Mint Sign on Chest CT
 • Partial filling defect in a blood vessel surrounded by
filling defect ... surrounded by a rim contrast ... Sign #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... Early transit of bubbles ... as RAP>LAP as atrial ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Decompensated HF ... Noncardiac: • Pulmonary ... cardioversion 2. ... Fibrillation #AFib #diagnosis ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... event, follow ACC algorithm ... Change in clinical ... stratification #diagnosis