10 results
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
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 #Cardiology ... #A4C #Large
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
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
ventricle (LV) and ... left atrium (LA ... orientation of the septum ... #Clinical #EM # ... Cardiology #POCUS
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
Parasternal Long ... interventricular septum ... ventricle (LV), left atrium ... #Clinical #EM #Cardiology ... #POCUS #Parasternal
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
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 ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary ... #cardiology #saline
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