12 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 ... #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
A defect in arterial ... or anatomic shunt ... 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
Negative Contrast ... Small secundum ASD ... left to right shunt ... 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
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 ... SEPTIC SHOCK •
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
pulmonary symptoms ... • Once daily trial ... first-degree relative) to detect ... Laryngitis • Asthma • Dental ... Disease #diagnosis #management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
(DAH) & renal failure ... feature, PRS can affect ... LVEF, pericardial effusion ... blood retum in serial ... differential #diagnosis #management
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
Management Summary ... decade → peripheral/acral ... before epiphyseal fusion ... suppression test → ⨁ if failure ... Pituitary MRI+contrast