Hunt a4c effusion msk atrial bubble contrast defect pulmonary septal failure asd 2 - GrepMed

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Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -

Atrial Septal Defect ... (a4c) An elderly ... #Septal #Defect ... #Contrast #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 ... #septal #defect ... #ASD #Bubble #Contrast

Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
• Low PATM Can decrease first part

Hypoxemic Respiratory Failure ... defects) VENTILATION ... shunting (eg, atrial ... or ventricular septal ... defects) • Does

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

Small secundum ASD ... left to right shunt ... 2. ... 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 ... R➡️L shunt as RAP ... >LAP as atrial septum ... clinical #pocus #a4c

Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal

pulmonary symptoms ... → EGD off PPI 2- ... first-degree relative) to detect ... Laryngitis • Asthma • Dental ... citrus • Eat 2-

Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis

(DAH) & renal failure ... palpable purpura 2/ ... 2 vasculitis, ulcers ... LVEF, pericardial effusion ... blood retum in serial

Acromegaly - Diagnosis and Management Summary - GrepMed Handbook

Clinical Presentation:
• Classic Acromegaly: frontal

decade → peripheral/acral ... before epiphyseal fusion ... suppression test → ⨁ if failure ... 2 adenoma mass effect ... 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 ... days before Pulmonary ... CARP, DECREASE V trials ... management for select

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