9 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram (a4c ... Ivan_Echocardio #atrial ... #ASD #Bubble #Contrast ... #clinical #cardiology
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
(agitated saline ... ) in the right atrium ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram ... #clinical #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Atrium - Differential ... to right shunt 2. ... #Atrium #RA #Differential ... #Diagnosis #cardiology ... #pocus #bubble
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... , 88% spec • Contrast-enhanced ... injected agitated saline ... cycles after right atrial ... blood gas (ABC)
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... = PFO 2. ... as RAP>LAP as atrial ... clinical #pocus #a4c ... #saline #contrast
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Etiology: • Direct ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... Artery #Embolism #diagnosis ... #differential #
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
Prolonged Activated Partial ... prolong the aPTT alone ... deficiencies: Contact ... Prolonged #Causes #diagnosis ... #differential #
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
decade → peripheral/acral ... Differential Diagnosis ... 2 adenoma mass effect ... Pituitary MRI+contrast ... Management: • 1st line
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
re-exams (normal CXR ... sent to CT abd w/contrast ... ecchymosis (bruising) 2. ... and/or delayed diagnosis ... pattern on your differential