10 results
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 ... Ivan_Echocardio #atrial ... #septal #defect ... #ASD #Bubble #Contrast ... #pocus #shunting
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
ventricle (LV) and ... orientation of the septum ... #Clinical #EM # ... Cardiology #POCUS ... #FourChamber #ALiEM
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, Serial ... trops (-) EM ... SAM. ... echocardiogram #plax #cardiology ... #pocus
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... #Diagnosis #cardiology ... echocardiogram #s4c ... #pocus #bubble
Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
interventricular septum ... ventricle (LV), left atrium ... #Clinical #EM #Cardiology ... #POCUS #Parasternal ... LongAxis #PSLA #ALiEM
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
>LAP as atrial septum ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary ... #cardiology #saline ... #contrast
Endocarditis Summary

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

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Differential Diagnosis ... , verrucous) - Lung ... Libman Sacks) • Atrial ... aureus, Coagulase-negative ... tumor embolism Septic
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Echocardiogram (A4C ... What are the next POCUS ... maybe consider contrast ... : serial blood cultures ... #clinical #cardiology