11 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram (a4c ... Ivan_Echocardio #atrial ... #Bubble #Contrast ... #clinical #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
1. ... Small secundum ASD ... #cardiology #clinical ... echocardiogram #s4c ... #pocus #bubble
Hepatic Masses on MRI - Differential Diagnosis by MRI Findings

Masses: Hemangioma, Adenoma, FNH, HCC, Fibrolamellar HCC,
Modalities: T1, T2, Arterial ... Hepato-Biliary Contrast ... Out-of-phase, DWI, ADC ... #liver #hepatology ... #radiology #mass
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
and Management ... diffusion-perfusion defect (Type 1) ... , 88% spec • Contrast-enhanced ... cycles after right atrial ... blood gas (ABC)
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
with end-stage liver ... Early transit of bubbles ... as RAP>LAP as atrial ... clinical #pocus #a4c ... intrapulmonary #cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis ... Artery #Embolism #diagnosis ... scoring #criteria #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... Diagnosis? ... #diagnosis #management ... #cardiology
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... wide-complex tachycardia: bundle ... Cardioversion 1. ... Fibrillation #AFib #diagnosis ... #management #cardiology
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
and Management ... decade → peripheral/acral ... GH stimulates liver ... Pituitary MRI+contrast ... Management:
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
ICU Liberation Bundle ... Target -1, but will ... bradycardia. renal/liver ... #CriticalCare #diagnosis ... #management