9 results
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... to right shunt 2. ... agitated saline 3. ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
aneurysm idiopathic. 2. ... chronic severe MR 3. ... ASD with R/L shunting ... which is rare. ... #a4c #Echocardiogram
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
(see below for diagnosis ... an IUP or not. #2 ... at the bedside #3 ... POCUS #clinical #obgyn ... #obstetrics
Antenatal / Prenatal Care Schedule 
At Every Visit: Weight, Blood pressure, Psychosocial screening, Counseling re. Indications
Antenatal / Prenatal Care ... 6 movements in 2 ... #Schedule #Diagnosis ... Timeline #Evaluation #Obstetrics ... #OBGyn #Trimester
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... = PFO 2. ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
- Differential Diagnosis ... examining hand) 3. ... compression (using ultrasound ... #Management #obstetrics ... #obgyn
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... in left heart 3- ... cycles after right atrial ... blood gas (ABC) ... Supportive care
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC ... indication of AC ... events or death (CARP ... , DECREASE V trials ... stratification #diagnosis
Solitary Cell Plasmacytoma

What?
• Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma)
• In 3%
plasmacytoma) • In 3% ... age 50-70 y/o • 2/ ... creating a “soap bubble ... SPB - commonly axial ... Ca, LDH, beta-2