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

An elderly patient with dyspnea -
Atrial Septal Defect ... (a4c) An elderly ... #Septal #Defect ... #Contrast #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 ... you close the defect ... Ivan_Echocardio #atrial ... #septal #defect ... #ASD #Bubble #Contrast
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right ... Atrium - Differential ... Diagnosis 1. ... #Effect #Right ... #Atrium #RA #Differential
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Management Summary A defect ... diffusion-perfusion defect ... (Type 1) or anatomic ... shunt (Type 2) ... • Oxygenation defect
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
ventricular septum 2) ... vasoconstricting effect ... endothelin - Effect ... metabolism - Effect ... proliferation - Effect
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
Early liver disease ... deficiencies: Contact ... Supratherapeutic warfarin effect ... Reduced liver synthesis ... Causes #diagnosis #differential
Differential Diagnosis for a Prolonged PT and aPTT
If the PT and the aPTT are both prolonged,
Differential Diagnosis ... Causes include : 1. ... filling of tube) 2. ... Supratherapeutic warfarin effect ... • Reduced liver
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
decade → peripheral/acral ... GH stimulates liver ... Differential Diagnosis ... 2 adenoma mass effect ... Pituitary MRI+contrast
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
with end-stage liver ... 1. ... Early transit of bubbles ... as RAP>LAP as atrial ... clinical #pocus #a4c
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... with ptosis: 1. ... CN III palsy 2. ... levator to the tarsal ... due to the mass effect