7 results
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Echocardiogram (A4C ... from agitated saline ... visualized in the left atrium ... being noted in the right ... Echocardiogram #A4C
Confirmation that central line is placed on the venous side by visualizing echogenic air bubbles in
echogenic air bubbles ... in right atrium ... Simply use the 5cc saline ... #confirmation #saline ... #criticalcare #S4C
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... shunt 2. ... opacification by agitated saline ... echocardiogram #s4c ... #pocus #bubble
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... contrast (agitated saline ... ) in the right atrium ... patient with an ASD ... #defect #a4c #Echocardiogram
Huge right atrial myxoma on POCUS Echocardiogram

Notice the typical attachment to the inter-atrial septum (fossa ovalis)
Huge right atrial ... myxoma on POCUS ... (fossa ovalis) and ... #myxoma #POCUS ... clinical #cardiology #s4c
Saline Flush Central Line Confirmation on POCUS Echocardiogram
Central line in → Rapid flush → See bubbles
Rapid flush → See bubbles ... policy/practice - Bubbles ... should be on right ... side and appear ... Echocardiogram #clinical #s4c
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... = PFO 2. ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c