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

An elderly patient with dyspnea -
Atrial Septal Defect ... #Septal #Defect ... #Contrast #a4c ... #clinical #pocus ... #bubble #Shunting
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 ... #ASD #Bubble #Contrast ... #clinical #cardiology
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Echocardiogram (A4C ... demonstrated by contrast ... visualized in the left atrium ... with intracardiac shunt ... #hepatology #clinical
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
) in the right atrium ... patient with an ASD ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram ... #clinical #cardiology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
or anatomic shunt ... (Type 2) Clinical ... cycles after right atrial ... blood gas (ABC) ... scanning or pulmonary
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... defect on cardiac ... #Study #ASD #Atrial ... #SeptalDefect #Clinical ... Echocardiogram #A4C
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... left to right shunt ... Diagnosis #cardiology #clinical ... echocardiogram #s4c ... #pocus #bubble
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
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 ... >LAP as atrial septum ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary