10 results
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
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
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary ... or anatomic shunt ... (Type 2) Clinical ... blood gas (ABC) ... scanning or pulmonary
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
defects) VENTILATION ... embolus SHUNT ... AVMs, hepatopulmonary ... shunting (eg, atrial ... ventricular septal defects
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Right to Left Shunt ... AVMs, Hepatopulmonary ... 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
liver disease and pulmonary ... Early transit of bubbles ... #2 c/w hepatopulmonary ... as RAP>LAP as atrial ... Echocardiogram #clinical
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... left to right shunt ... Diagnosis #cardiology #clinical ... echocardiogram #s4c ... #pocus #bubble
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
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 ... management for select