15 results
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad ... Differential Diaqnoses ... hepatitis • Pulmonary ... Prunelle Getten #AdultOnset ... #diagnosis #management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
shunt (Type 2) Clinical ... , 88% spec • Contrast-enhanced ... cycles after right atrial ... blood gas (ABC) ... cirrhosis • Intra-pulmonary
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Rheumatic Heart Disease ... spontaneous echo contrast ... (7) patient in atrial ... Echocardiogram #clinical ... #cardiology #a4c
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Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
Carcinoma (RCC) - Diagnosis ... and Management ... Summary Clinical ... features - Classic triad ... abdominal CT scan with contrast
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
end-stage liver disease ... and pulmonary hypertension ... as RAP>LAP as atrial ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
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Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
canoeing, kayaking, trail ... failure • Severe pulmonary ... disease ARDS Diagnosis ... Epidemiologic exposure + clinical ... #treatment #management
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... Effect #Right #Atrium ... #cardiology #clinical ... echocardiogram #s4c
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In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
brand name echo contrast ... material) was required ... described for Pulmonary ... #Clinical #POCUS ... Echocardiogram #Definity #A4C
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Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... thromboembolic material ... have inoperable disease ... antagonist • BENEFiT Trial ... #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC ... Change in clinical ... CARP, DECREASE V trials ... medical and surgical management ... stratification #diagnosis