9 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 ... #Contrast #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 ... Echocardiogram (a4c ... Ivan_Echocardio #atrial ... #septal #defect ... #ASD #Bubble #Contrast
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
or anatomic shunt ... cycles after right atrial ... blood gas (ABC) ... cirrhosis • Intra-pulmonary ... scanning or pulmonary
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
shunt • Improves ... defects) VENTILATION ... embolus SHUNT ... shunting (eg, atrial ... ventricular septal defects
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... left to right shunt ... echocardiogram #s4c ... #pocus #bubble
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
ARDS, Pneumonia and ... Interstitial 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
pulmonary hypertension ... Early transit of bubbles ... R➡️L shunt as RAP ... >LAP as atrial septum ... 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
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... murmur 3/6) - Pulmonary ... days before Pulmonary ... CARP, DECREASE V trials ... management for select