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

An elderly patient with dyspnea -
Atrial Septal Defect ... (a4c) An elderly ... #Septal #Defect ... #Contrast #a4c ... #clinical #pocus
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
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
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
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
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 ... Paradoxical emboli via ASD ... Abscess, destructive penetrating
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
>LAP as atrial septum ... shifts left ... stretched PFO or ASD ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Paradoxical emboli via ASD ... tumor embolism Septic ... Abscess, destructive penetrating
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
brand name echo contrast ... material) was required ... The RV is on the left ... #Clinical #POCUS ... Echocardiogram #Definity #A4C