7 results
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... to right shunt 2. ... #cardiology #clinical ... echocardiogram #s4c
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
syndrome #1: Pulm HTN ... >LAP as atrial septum ... stretched PFO or ASD ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
Urine Dipstick ≥2+ ... severe RUQ pain, renal ... insufficiency (Cr ... so have high clinical ... #obstetrics #cardiology
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(2) Lvef 25-30% ... (5) Layered clot ... spontaneous echo contrast ... (7) patient in atrial ... #cardiology #a4c
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Differential Diagnosis ... Dermatomyositis Clinical ... Features: • Triad ... ) • AKI: BUN/Cr ... hyperkalemia or ATN
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
perfusion + ↑ renal ... • ↓ Effective arterial ... Diagnosis (Clinical ... Normal kidney ultrasound ... ATN, volume depletion
Peripelvic Cyst on Renal POCUS
60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
stone WBC 12.5 Cr ... LFTs normal Diagnosed ... bedside assessment 2) ... showing retained contrast ... #ultrasound