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

An elderly patient with dyspnea -
Atrial Septal Defect ... Ivan_Echocardio #Atrial ... #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 ... Echocardiogram (a4c ... Ivan_Echocardio #atrial ... #septal #defect ... #ASD #Bubble #Contrast
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Atrium - Differential ... Diagnosis 1. ... to right shunt 2. ... #Atrium #RA #Differential ... #pocus #bubble
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
(Type 1) or anatomic ... shunt (Type 2) ... cycles after right atrial ... blood gas (ABC) ... management #treatment #hepatology
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
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
Early liver disease ... Prolonged Activated Partial ... deficiencies: Contact ... Reduced liver synthesis ... Causes #diagnosis #differential
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 ... Major + 1 Minor ... Embolism #diagnosis #differential
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
thromboembolism) 1) ... ventricular size, Right atrial ... ventricular septum 2) ... hemodynamics Liver ... diagnosis #management #hepatology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG 1. ... failure, and death. 2. ... Subepicardial atrial ... : AVNRT, AVRT, atrial ... #leadAVR #ecg #electrocardiogram
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