13 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Ivan_Echocardio #atrial ... #Bubble #Contrast ... #a4c #clinical ... #cardiology #pocus
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Differential/diagnosis ... #A4c #clinical ... #cardiology #McConnells
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... to right shunt 2. ... #cardiology #clinical ... #echocardiogram ... #s4c #pocus #bubble
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
pathway between the atria ... ventricle known as the bundle ... (Delta wave) 2 ... WolffParkinsonWhite #WPW #Cardiology ... #Clinical #Diagnosis
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 ... = PFO 2. ... as RAP>LAP as atrial ... #clinical #pocus
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... via ASD • Metastatic ... ↑ ESR, CRP • EKG ... #management #cardiology
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
not gradual in contrast ... because one of the bundle ... #tachycardia #cardiology ... #diagnosis #ekg ... electrocardiogram #clinical
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... Libman Sacks) • Atrial ... Cerebral > Splenic, Pulmonary ... via ASD • Metastatic ... ↑ ESR, CRP • EKG
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... QRS complex Pulmonary ... Embolism: • T-wave ... elevation seen > 2 ... #cardiology #ecg
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
2 patients w ... / different diagnoses ... strain related to pulmonary ... embolism, but could ... #clinical #cardiology