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Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... #Contrast #Effect ... echocardiogram #s4c #pocus ... #bubble
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... saline) in the right ... patient with an ASD ... #washout #ASD # ... #pocus
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
study, in a patient ... pulmonary hypertension ... Early transit of bubbles ... stretched PFO or ASD ... Echocardiogram #clinical #pocus
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Coagulase-negative ... Cerebral > Splenic, pulmonary ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
aureus, Coagulase-negative ... Cerebral > Splenic, Pulmonary ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... • Left sided > Right
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... have achieved negative ... #differential #algorithm ... #management #cardiology