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

An elderly patient with dyspnea -
Atrial Septal Defect ... #Septal #Defect ... #Contrast #a4c ... #clinical #pocus ... #bubble #Shunting
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... you close the defect ... Ivan_Echocardio #atrial ... #septal #defect ... #ASD #Bubble #Contrast
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
effect = a washout ... (agitated saline ... #effect #washout ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right ... Atrium - Differential ... #Effect #Right ... #Atrium #RA #Differential ... #pocus #bubble
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... defect on cardiac ... satisfying bubble ... #Study #ASD #Atrial ... Echocardiogram #A4C
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Management Summary A defect ... diffusion-perfusion defect ... anatomic shunt (Type 2) ... injected agitated saline ... • Oxygenation defect
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 ... Supratherapeutic warfarin effect ... Causes #diagnosis #differential
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
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
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
hemorrhage • Apply direct ... Failure - Apnea/poor effort ... Binder) • Use POCUS ... pupil, Cushing's triad ... box below) • Contact