9 results
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... Echocardiogram with Contrast ... (a4c) An elderly ... #a4c #clinical ... #pocus #bubble #
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 ... #Bubble #Contrast ... #clinical #cardiology
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... ) in the right atrium ... atrial #septal # ... defect #a4c #Echocardiogram ... #clinical #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... to right shunt 2. ... Diagnosis #cardiology #clinical ... #pocus #bubble
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
pathway between the atria ... ventricle known as the bundle ... (Delta wave) 2 ... #EKG #Electrocardiogram ... #Clinical #Diagnosis
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
not gradual in contrast ... because one of the bundle ... cardiology #diagnosis #ekg ... #electrocardiogram ... #clinical #comparison
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 ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Phos), CBC with differential ... oral secretions (e.g ... capacity: Monitor 2- ... Do not measure negative ... magnesium, IV contrast
Solitary Cell Plasmacytoma

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