11 results
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
sinus rhythm... 1. ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
1. ... Small secundum ASD ... or PFO with left ... to right shunt 2. ... #cardiology #clinical
This is a parasternal long axis view of a young patient presenting with 3 days of
Beside ultrasound ... the OR in under 1 ... left atrium should ... #EM #Radiology ... #POCUS #CardiacUS
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Clinical Classification ... Hypertension 1. ... hypertension due to left ... mediastinitis, chronic renal ... Classification #Diagnosis
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
>LAP as atrial septum ... shifts left ... stretched PFO or ASD ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
diffusion-perfusion defect (Type 1) ... anatomic shunt (Type 2) ... Clinical Presentation ... Microbubbles appear in left ... blood gas (ABC)
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... possibly renal ... failure Clinical ... e.g. incidental CXR ... (pain/abnormal LFT
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... one post op Cardiology ... unless prior heart/lung ... CARP, DECREASE V trials ... stratification #diagnosis
Peripelvic Cyst on Renal POCUS
60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
stone WBC 12.5 Cr ... bedside assessment 2) ... kidney, and left ... POCUS, with clinical ... #clinical #ultrasound
Rib fractures on POCUS 
1. look for a discontinuity at the site of pain and tenderness
1. look for a ... tenderness 2. ... US beats CXR on ... diagnosis; the ... #clinical #ultrasound