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 ... septal #defect #ASD ... #clinical #cardiology ... #pocus #shunting
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
, the atria and ... ventricles contract ... EKG of the same ... excludes other differentials ... PhysicalExam #JVP #Cardiology
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
patient with an ASD ... effect #washout #ASD ... #defect #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Subepicardial atrial ... , AVRT, atrial tachycardia ... #differential # ... cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... Flow from IVC hampering ... #Diagnosis #cardiology ... echocardiogram #s4c ... #pocus #bubble
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... McConnell's sign, and ... Echocardiogram #A4c ... #clinical #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... Pheochromocytoma • Pulmonary ... Hyperthyroidism • Anemia Psychiatric ... #Palpitations #Cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
pulmonary hypertension ... >LAP as atrial septum ... stretched PFO or ASD ... #a4c #intrapulmonary ... #cardiology #saline
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 ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... diagnosis #management #cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
dominant pacemaker focus ... from the sinus ... rhythm, in sharp contrast ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram