23 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram (a4c ... you close the defect ... atrial #septal #defect ... Echocardiogram #a4c
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... with Contrast (a4c ... Atrial #Septal #Defect ... Echocardiogram #Contrast #a4c ... clinical #pocus #bubble
Causes of Cyanosis in the Newborn - Differential Diagnosis Algorithm
Peripheral Only:
 • Poor Perfusion
 • Acrocyanosis
Hemoglobinopathy:
Differential Diagnosis Algorithm ... Left-to-Right Shunt ... Atrial Septal Defect ... Differential #Diagnosis #Algorithm ... #Causes #Peds #
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Echocardiogram (A4C ... contrast TTE when bubbles ... with intracardiac shunt ... Echocardiogram #A4C ... #bubble #shunting
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Differential Diagnosis Algorithm ... Right to Left Shunt ... Ventricular Septal Defect ... Atrial Septal Defect ... Differential #Diagnosis #Algorithm
Undifferentiated critical congenital heart disease: Patterns of Presentation 
Pink baby:
 • Presents at 1-6 mo
dx • L -> R shunt ... VSD, AV canal defect ... catch blue baby defects ... Blue #Gray #Baby #Peds
Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
68M
Echocardiogram (A4c ... ) with bubble study ... right-to-left shunt ... Echocardiogram #bubble ... pocus #hepatology #a4c
Step by Step Algorithmic Approach to Pediatric Fever

Age < 21 days old (or 28 days for
Step by Step Algorithmic ... mL CRP mg/L or ANC ... #Pediatrics #Peds ... Management #StepByStep #Algorithm
Causes of Depressed / Lethargic Newborn - Differential Diagnosis Algorithm
Maternal Related:
 • Drugs (Ex. SSRI)
 •
Differential Diagnosis Algorithm ... Congenital Heart Defect ... Differential #Diagnosis #Algorithm ... #Causes #Peds #
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
atrial septal defect ... oddly satisfying bubble ... @eabramsMD #Bubble ... Echocardiogram #A4C