17 results
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... contrast (agitated saline ... ) in the right atrium ... septal #defect #a4c ... clinical #cardiology #pocus
A-Lines vs B-Lines on Lung POCUS
A-Lines:
 • Predominately horizontal lines
 • A-lines are repeated horizontal &
on Lung POCUS ... Commonly seen in pulmonary ... @MCW_EM_US #ALines ... POCUS #pulmonary ... #clinical #comparison
Confirmation that central line is placed on the venous side by visualizing echogenic air bubbles in
bubbles in right atrium ... Simply use the 5cc saline ... #confirmation #saline ... Echocardiogram #POCUS ... #criticalcare #S4C
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
Apical 4-chamber (A4 ... ventricle (RV), right atrium ... (LV) and left atrium ... EM #Cardiology #POCUS ... #FourChamber #ALiEM
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
cultures/serology: Serial ... negative blood ... Frequent false-negative ... drug use, Central lines ... #Endocarditis #comparison
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
specific to HPS alone ... cycles after right atrial ... blood gas (ABC) ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... opacification by agitated saline ... echocardiogram #s4c ... #pocus #bubble
Idiopathic Pulmonary Arterial Hypertension (IPAH) on Echocardiogram

55 year old female.  Amazing how the body adapts
Idiopathic Pulmonary ... Arterial Hypertension ... #Idiopathic #Pulmonary ... echocardiogram #cardiology #a4c ... #pocus
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Hypercoagulable (APLAS) Microbiology ... • Coagulase-negative ... Cerebral > Splenic, pulmonary
Complete AV Canal Defect on Echocardiogram

Among pts with Pulmonary Arterial Hypertension, those with Eisenmenger syndrome have
Among pts with Pulmonary ... Arterial Hypertension ... AVCanal #Defect #a4c ... clinical #cardiology #pocus