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

An elderly patient with dyspnea -
Atrial Septal Defect ... (a4c) An elderly ... #Septal #Defect ... #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 ... you close the defect ... Ivan_Echocardio #atrial ... #septal #defect ... #ASD #Bubble #Contrast
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Right to Left Shunt ... Ventricular Septal Defect ... ** • Atrial Septal ... Defect Pulmonary ... Right to Left Shunt
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Management Summary A defect ... defect (Type 1) ... (Type 2) Clinical ... cycles after right atrial ... • Oxygenation defect
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right ... left to right shunt ... 2. ... #Effect #Right ... #pocus #bubble
Causes of Cyanosis in the Newborn - Differential Diagnosis Algorithm
Peripheral Only:
 • Poor Perfusion
 • Acrocyanosis
Hemoglobinopathy:
Ventricular Septal Defect ... Atrioventricular Septal Defect ... Arteriosus • Atrial ... Septal Defect ... Total Anomalous Pulmonary
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Right to Left Shunt ... - Anatomic Shunt ... Disease and more • Diffusion ... Defect: Pulmonary ... Gradient #alveolar #arterial
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... Early transit of bubbles ... = PFO 2. ... as RAP>LAP as atrial ... clinical #pocus #a4c
Intraarticular Chondroma - MSK Radiology
Imaging Findings:
 • Subtle soft-tissue infrapatellar mass seen obscuring Hoffa's fat pad.
Intraarticular Chondroma - MSK ... Usually NOT joint effusions ... • Post-contrast ... symptoms due to mass effect ... Radiology #diagnosis #msk
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
decade → peripheral/acral ... before epiphyseal fusion ... effects: Headache ... 2 adenoma mass effect ... Pituitary MRI+contrast