11 results
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... #washout #ASD # ... defect #a4c #Echocardiogram ... #clinical #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Diagnosis 1. ... Small secundum ASD ... or PFO with left ... to right shunt 2. ... #echocardiogram
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
atrium on Echocardiogram ... sinus rhythm... 1. ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
(Type 1) or anatomic ... shunt (Type 2) ... Clinical Presentation ... Microbubbles appear in left ... blood gas (ABC)
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
>LAP as atrial septum ... shifts left ... stretched PFO or ASD ... #clinical #pocus ... #a4c #intrapulmonary
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
think about three clinical ... with ptosis: 1. ... CN III palsy 2. ... Neurogenic Ptosis - Neurologic ... levator to the tarsal
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... - Cataract Plan ... indication of AC ... CARP, DECREASE V trials ... management for select
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
distribution of nearly 3:1 ... Afferent pupillary defect ... combination of: 1. ... 2. ... stimulation Clinical
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... vision in the left ... with bright or direct ... proceeding to 1% ... #physicalexam #neurology
Spasmus Nutans on Ocular Examination

At first I thought it was Pendular But a closer look reveals
Spasmus Nutans on Ocular ... constantly to the left ... clinical triad ... of 1) nystagmus ... ophthalmology #neurology