24 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
and Management ... 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
Negative Contrast ... Small secundum ASD ... left to right shunt ... #clinical #echocardiogram ... #s4c #pocus #bubble
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
- Differential Diagnosis ... defects) VENTILATION ... shunting (eg, atrial ... ventricular septal defects ... #Differential #Diagnosis
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 ... #differential #diagnosis
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 ... #mri #clinical ... #msk
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 ... • Ventilation-perfusion ... multiple bilateral defects ... • Confirm diagnosis ... #management