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

An elderly patient with dyspnea -
Atrial Septal Defect ... (ASD) with Shunting ... with dyspnea - ASD ... #ASD #Echocardiogram ... #Contrast #a4c
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram (a4c ... previously undiagnosed ASD ... Ivan_Echocardio #atrial ... #ASD #Bubble #Contrast
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Atrium - Differential ... Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... #Atrium #RA #Differential
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
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
(HPS) HPS-differential ... Pleura and diaphragm ... Patients with liver ... Alveolar-arterial ... Syndrome #HPS #hepatology
Hemolysis - Differential Diagnosis Framework

1) Environment
  - Fragmentation
  - MAHA: TTP, HUS, DIC, HELLP
Hemolysis - Differential ... Diagnosis Framework 1) ... Pre-eclampsia 2) ... , Drugs, Liver Disease ... #Diagnosis #hematology
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
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
with end-stage liver ... Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
HCV RNA • R 2- ... HCV RNA • R < 2: ... week • Direct ... chemistry #diagnosis #differential ... #Hepatology #transaminitis
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