9 results
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
(see below for diagnosis ... pregnancy in the left ... an IUP or not. #2 ... at the bedside #3 ... #obstetrics
Ruptured Tubal Ectopic Pregnancy on Pelvic Ultrasound

Young female.  Lower abdominal pain/VB.  UCG pos. Soft
Diagnosis/differential ... surrounding the uterus and ... Patient had ruptured left ... #clinical #OBGyn ... #Obstetrics #Sagittal
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
atrium on Echocardiogram ... aneurysm idiopathic. 2. ... chronic severe MR 3. ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... or PFO with left ... to right shunt 2. ... agitated saline 3. ... cardiology #clinical #echocardiogram
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
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... Minor) OR (3 Minor ... Artery #Embolism #diagnosis
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
bubbles = PFO 2. ... >LAP as atrial septum ... shifts left ... stretched PFO or ASD ... clinical #pocus #a4c
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
lung disease, left ... Transthoracic echocardiogram ... ventricular size, Right atrial ... ventricular septum 2) ... 25mmHg, PVR > 3
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... Microbubbles appear in left ... heart 3-6 cardiac ... cycles after right atrial ... Arterial blood gas (ABC