Dissolved bubbles contrast - GrepMed

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ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the

ASD on Bubble Contrast ... #defect #ASD #Bubble ... #Contrast #Echocardiogram

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

An elderly patient with dyspnea -

Echocardiogram with Contrast ... Echocardiogram #Contrast ... clinical #pocus #bubble

Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when

demonstrated by contrast ... TTE when bubbles ... Echocardiogram #A4C #bubble

PFO with shunting on Contrast Echocardiogram (a4c)
74 yo presents with CVA. RoPE score of 4.

with shunting on Contrast ... PFO #shunting #Contrast ... cardiology #pocus #bubble

Contrast dyes are divided into three groups based on their osmolarity. High-osmolar contrast medium (HOCM),

Contrast dyes are ... High-osmolar contrast ... either low-osmolar contrast ... or iso-osmolar contrast ... #Nephrology #IVContrast

Drug Induced Kidney Injury
• Pre-Renal: NSAIDS, CNI, ACEI/ARB, IL-2 therapy, Diuretics CAR-T therapy
• Osmotic

Osmotic injury to tubules ... sucrose), Mannitol, Contrast ... Antibiotics, Radio-contrast

Microcavitation due to mechanical valve closure (aortic in this case).

Dissolved gas changing state due to changes

Dissolved gas changing ... that causes micro bubbles ... MechanicalValve #Closure #Bubbles

DO2 Equation in Shock = Oxygen Delivery
DO2 = CO x (1.39 x [Hb] x SaO2 +(0.003xPaO2))
DO2

0.003 = Amount of dissolved ... oxygen gas is dissolved

Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win. Secondary bacterial

Note gas bubbles ... ultrasound #Gas #Bubbles

How do you work up an ischemic CVA?
A) Initial Evaluation
• ABCs
• IV access, monitor

NIHSS) • Non-contrast ... MRI brain w/o contrast ... NCCT vs MRI w/o contrast ... suspicion) • +/- bubble

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