10 results
Mitral Stenosis and Left Atrial Thrombus on Echocardiogram (a4c)

Mitral stenosis is a risk factor for LA
and Left Atrial ... of underlying cardiac ... #Stenosis #Atrial ... Echocardiogram #clinical #cardiology ... #pocus
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
saline) in the right ... atrium in a patient ... #atrial #septal ... #clinical #cardiology ... #pocus
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
atrium (RA), left ... left atrium (LA ... #Clinical #EM #Cardiology ... #POCUS #Apical ... #FourChamber #ALiEM
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Atrium - Differential ... Small secundum ASD ... Flow from IVC hampering ... #Atrium #RA #Differential ... #pocus #bubble
Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
Note the right ventricle ... ventricle (LV), left atrium ... (LA), anterior mitral ... #POCUS #Parasternal ... LongAxis #PSLA #ALiEM
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(4) All 4 cardiac ... spontaneous echo contrast ... (7) patient in atrial ... Echocardiogram #clinical #cardiology ... #a4c #thrombus
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... Abscess, destructive penetrating ... diagnosis #management #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
>LAP as atrial septum ... stretched PFO or ASD ... PVeins (extra-cardiac ... #a4c #intrapulmonary ... #cardiology #saline
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
mitral regurgitation ... Libman Sacks) • Atrial ... • Left sided > Right ... Abscess, destructive penetrating ... Differential #Diagnosis #cardiology
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Echocardiogram (A4C ... PMHx recent CHF, IV ... maybe consider contrast ... : serial blood cultures ... #clinical #cardiology