13 results
PFO with shunting on Contrast Echocardiogram (a4c) 
74 yo presents with CVA. RoPE score of 4.
with shunting on Contrast ... presents with CVA ... PFO #shunting #Contrast ... #clinical #cardiology ... #pocus #bubble
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Ivan_Echocardio #atrial ... #ASD #Bubble #Contrast ... #clinical #cardiology ... #pocus #shunting
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
) in the right atrium ... #washout #ASD #atrial ... septal #defect #a4c ... Echocardiogram #clinical #cardiology ... #pocus
Atrioesophageal Fistula on Echocardiogram (a4c)
Spontaneously appearing microbubbles during coughing. 
Left: normal breathing  Right: during coughing

Ivan
Echocardiogram (a4c ... breathing Right: during ... Ivan_Echocardio #atrial ... Echocardiogram #clinical #cardiology ... #pocus
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... Differential #Diagnosis #cardiology ... echocardiogram #s4c ... #pocus #bubble
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
Diagnosis and Management ... Acromegaly: frontal bossing ... decade → peripheral/acral ... Mortality due to CVD ... Pituitary MRI+contrast
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
as RAP>LAP as atrial ... appears to be coming ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary ... #cardiology #saline
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Gastric & Ovarian CA ... Libman Sacks) • Atrial ... • Nonbacterial thrombotic ... Endocarditis #diagnosis #management ... #cardiology
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
intubation (See Drug Dosing ... Binder) • Use POCUS ... pupil, Cushing's triad ... box below) • Contact ... Survey #CABCDE #management
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Arterial Line: ... arterial line: ... quickly (30-90 sec ... a 15 sec expiratorv ... comparison #challenges #management