9 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 ... septal #defect #ASD ... #cardiology #pocus ... #shunting
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Giant dilated left ... atrium on Echocardiogram ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram ... #clinical #cardiology
Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
68M
delayed right-to-left ... syndrome (clubbing and ... #bubble #shunting ... intrapulmonary #cardiology ... clinical #pocus #hepatology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... or PFO with left ... #Diagnosis #cardiology ... #clinical #echocardiogram ... #s4c #pocus #bubble
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Fibroelastoma), Mass (Myxoma ... Paradoxical: Right to Left ... prosthetic valve, PFO, ASD ... Embolism #diagnosis #differential ... scoring #criteria #cardiology
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
lung disease, left ... Transthoracic echocardiogram ... m/s • Other signs ... ventricular size, Right atrial ... diagnosis #management #hepatology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... diagnosis #management #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
>LAP as atrial septum ... shifts left ... stretched PFO or ASD ... clinical #pocus #a4c ... intrapulmonary #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Differential Diagnosis ... Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Paradoxical emboli via ASD ... #Diagnosis #cardiology