12 results
Severe Left Atrial Enlargement on Echocardiogram
Have you ever seen a left atrium this big!?!? 
LA diameter
Severe Left Atrial ... seen a left atrium ... diameter > 7 cm and ... #Severe #Cardiology ... Clinical #POCUS #A4C
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... non-culprit vessels • Atrial ... risk factors: cardiomyopathy ... cardiac surgery, endocarditis ... #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... or PFO with left ... to right shunt 2. ... Differential #Diagnosis #cardiology ... echocardiogram #s4c
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... , 88% spec • Contrast-enhanced ... Microbubbles appear in left ... blood gas (ABC) ... HPS Diagnostic Criteria
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
with end-stage liver ... >LAP as atrial septum ... shifts left ... clinical #pocus #a4c ... intrapulmonary #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... night sweats, fever ... -> TEE • Duke Criteria ... • Left sided > Right ... diagnosis #management #cardiology
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
(a4c) It belongs ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram ... #clinical #cardiology
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
lung disease, left ... ventricular size, Right atrial ... ventricular septum 2) ... diagnosis Diagnostic criteria ... hemodynamics Liver
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(2) Lvef 25-30% ... spontaneous echo contrast ... (7) patient in atrial ... Echocardiogram #clinical #cardiology ... #a4c #thrombus
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... night sweats, fever ... → TEE • Duke Criteria ... • Left sided > Right ... Differential #Diagnosis #cardiology