12 results
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... #Septal #Defect ... #Contrast #a4c ... #clinical #pocus ... #bubble #Shunting
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... #septal #defect ... #ASD #Bubble #Contrast ... #clinical #cardiology ... #pocus #shunting
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... atrial #septal # ... defect #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... defect on cardiac POCUS ... #Study #ASD #Atrial ... #SeptalDefect #Clinical ... Echocardiogram #A4C
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... or PFO with left ... Diagnosis #cardiology #clinical ... #pocus #bubble
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(RA), left ventricle ... (LV) and left atrium ... orientation of the septum ... #Clinical #EM # ... Cardiology #POCUS
Huge right atrial myxoma on POCUS Echocardiogram

Notice the typical attachment to the inter-atrial septum (fossa ovalis)
myxoma on POCUS ... septum (fossa ovalis ... #myxoma #POCUS ... Echocardiogram #clinical ... #cardiology #s4c
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... >LAP as atrial septum ... shifts left ... stretched PFO or ASD ... #pocus #a4c #intrapulmonary
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... • Coagulase-negative ... Glomerulonephritis Septic ... Paradoxical emboli via ASD
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... aureus, Coagulase-negative ... tumor embolism Septic ... Abscess, destructive penetrating