11 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 - 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
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Atrium - Differential ... Small secundum ASD ... #Atrium #RA #Differential ... Diagnosis #cardiology #clinical ... #pocus #bubble
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... defects) VENTILATION ... shunting (eg, atrial ... ventricular septal defects ... Failure #hypoxia #Differential
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
ARDS, Pneumonia and ... more • Diffusion ... Defect: Pulmonary ... Gradient #alveolar #arterial ... #hypoxemia #differential
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
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 ... Differential diagnosis ... #mri #clinical
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... a clinical prognostic ... output - Acute pulmonary ... ’s • Reduced Arterial ... Acidosis #Elevation #Differential
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
GrepMed Handbook Clinical ... decade → peripheral/acral ... before epiphyseal fusion ... Differential Diagnosis ... Pituitary MRI+contrast