17 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 ... #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 ... #ASD #Bubble #Contrast ... #clinical #cardiology
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
- Differential Diagnosis ... Ventricular Septal Defect ... ** • Atrial Septal ... Defect Pulmonary ... #Differential #Diagnosis
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
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
Causes of Cyanosis in the Newborn - Differential Diagnosis Algorithm
Peripheral Only:
 • Poor Perfusion
 • Acrocyanosis
Hemoglobinopathy:
- Differential Diagnosis ... Only: • Poor Perfusion ... Arteriosus • Atrial ... Total Anomalous Pulmonary ... #Differential #Diagnosis
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Diagnosis 1. ... 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 -
Right to Left Shunt ... Disease 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
liver disease and pulmonary ... Early transit of bubbles ... as RAP>LAP as atrial ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary