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

An elderly patient with dyspnea -
Atrial Septal Defect ... #Septal #Defect ... #ASD #Echocardiogram ... #Contrast #a4c ... clinical #pocus #bubble
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... defect? ... Ivan_Echocardio #atrial ... #septal #defect ... #ASD #Bubble #Contrast
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
effect = a washout ... of the contrast ... #effect #washout ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right ... Small secundum ASD ... to right shunt 2. ... #Effect #Right ... #s4c #pocus #bubble
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Management Summary A defect ... diffusion-perfusion defect ... anatomic shunt (Type 2) ... blood gas (ABC) ... • Oxygenation defect
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
ventricular septum 2) ... vasoconstricting effect ... endothelin - Effect ... metabolism - Effect ... proliferation - Effect
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
What do you see ... pulmonary hypertension ... Early transit of bubbles ... >LAP as atrial septum ... clinical #pocus #a4c
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... and left atria, ... ventricular hypertrophy, pericardial ... cardioversion 2. ... weeks before or TEE
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
feature, PRS can affect ... palpable purpura 2/ ... quantify renal injury ... o infection • Echocardiogram ... EGPA (↓ LVEF, pericardial
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
hemorrhage • Apply direct ... Failure - Apnea/poor effort ... /or pericardial ... pupil, Cushing's triad ... box below) • Contact