11 results
ASD Secundum with Bidirectional Shunting on Echocardiogram (A4c) with Contrast
Male , 50y/o, previous anterior MI with
Bidirectional Shunting ... Echocardiogram (A4c ... ) with Contrast ... Echocardiogram #clinical #cardiology ... #pocus #a4c #contrast
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram (a4c ... #Bubble #Contrast ... Echocardiogram #a4c ... #clinical #cardiology
ASD Secundum with Bidirectional Shunting on Echocardiogram (A4c) with Color Doppler
Male , 50y/o, previous anterior MI
ASD Secundum with ... Bidirectional Shunting ... Echocardiogram (A4c ... Echocardiogram #clinical #cardiology ... #pocus #a4c #Bidirectional
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... effect #washout #ASD ... septal #defect #a4c ... Echocardiogram #clinical #cardiology
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
Mechanical Complications ... size < 0.5 • Bidirectional ... ) • May need contrast ... Infarction #acuteMI #cardiology ... #differential #
Hepatic Masses on MRI - Differential Diagnosis by MRI Findings

Masses: Hemangioma, Adenoma, FNH, HCC, Fibrolamellar HCC,
Masses on MRI - Differential ... Hepato-Biliary Contrast ... Out-of-phase, DWI, ADC ... #Masses #MRI #differential ... liver #hepatology #radiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Right Atrium - Differential ... Small secundum ASD ... #Diagnosis #cardiology ... echocardiogram #s4c
Post Cardiac Catheterization Complications
Access site complications
 • Hematoma - Pain, swelling, bruising
 • Retroperitoneal bleed -
Catheterization Complications ... Access site complications ... hypotension • Contrast ... Cr 48-72h post contrast ... #cardiology #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... destructive lesion • Complications ... diagnosis #management #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
on this saline contrast ... stretched PFO or ASD ... clinical #pocus #a4c ... intrapulmonary #cardiology ... #saline #contrast