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

An elderly patient with dyspnea -
Atrial Septal Defect ... (a4c) An elderly ... #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 ... Echocardiogram (a4c ... Ivan_Echocardio #atrial ... #ASD #Bubble #Contrast ... clinical #cardiology #pocus
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 #pocus
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Atrium - Differential ... to right shunt 2. ... opacification by agitated saline ... #Atrium #RA #Differential ... #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 ... cycles after right atrial ... blood gas (ABC) ... Positive findings on contrast-enhanced
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
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
prolong the aPTT alone ... deficiencies: Contact ... Supratherapeutic warfarin effect ... 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
Arterial Line - Pulse Pressure Variation (PPV)
Pressure Variation (PPV) represents an interaction between lungs and heart.
Arterial Line - ... filling time) 2. ... (consistent effect ... interacting) In contrast ... pulsepressure #variation #diagnosis