7 results
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
1. ... Small secundum ASD ... to right shunt 2. ... echocardiogram #s4c ... #pocus #bubble
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
(RCC) - Diagnosis ... Summary Clinical ... a palpable abdominal ... initial test: abdominal ... CT scan with contrast
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... stretched PFO or ASD ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Echocardiogram (1) ... (2) Lvef 25-30% ... (5) Layered clot ... spontaneous echo contrast ... #cardiology #a4c
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
CT abdomen if abdominal ... immediate treatment 1. ... CAR-T day 3–10; 2– ... , hypotension, renal ... Oncology #HemeOnc #Diagnosis
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
w/contrast ---> ... retroperitoneal) 1. ... ecchymosis (bruising) 2. ... /or delayed diagnosis ... Trauma #Injury #clinical
Peripelvic Cyst on Renal POCUS
60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
LFTs normal Diagnosed ... bedside assessment 2) ... POCUS, with clinical ... showing retained contrast ... #ultrasound