10 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
A defect in arterial ... or anatomic shunt ... (Type 2) Clinical ... cycles after right atrial ... blood gas (ABC)
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
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
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... bone fractures, direct ... dysrhythmias (eg, atrial ... pressure (PEEP) for pulmonary ... #Shock #Management
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... thromboembolic material ... • Ventilation-perfusion ... multiple bilateral defects ... Thromboendarterectomy #diagnosis #management
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 ... #mri #clinical ... Radiology #diagnosis #msk
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
Management Summary ... GrepMed Handbook Clinical ... decade → peripheral/acral ... before epiphyseal fusion ... Pituitary MRI+contrast
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 ... Change in clinical ... days before Pulmonary ... surgical management