Hunt a4c effusion msk atrial bubble contrast defect pulmonary septal shunting - GrepMed

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

An elderly patient with dyspnea -

Atrial Septal Defect ... (ASD) with Shunting ... #Septal #Defect ... #pocus #bubble # ... Shunting

ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the

ASD on Bubble Contrast ... Ivan_Echocardio #atrial ... #septal #defect ... #ASD #Bubble #Contrast ... cardiology #pocus #shunting

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 ... #bubble #shunting

Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
• Airway Disease (Asthma, COPD)
• Vascular (PE*)
•

• Ventricular Septal ... Defect ** • Atrial ... Septal Defect ... Pulmonary Right ... to Left Shunt

Causes of Cyanosis in the Newborn - Differential Diagnosis Algorithm
Peripheral Only:
• Poor Perfusion
• Acrocyanosis
Hemoglobinopathy:

Only: • Poor Perfusion ... Septal Defect ... Arteriosus • Atrial ... Septal Defect ... Total Anomalous Pulmonary

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

defects) VENTILATION ... Intrapulmonary 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 ... cycles after right atrial ... blood gas (ABC) ... cirrhosis • Intra-pulmonary ... scanning or pulmonary

Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left

Negative Contrast ... Atrium - Differential ... 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

liver disease and pulmonary ... Early transit of bubbles ... as RAP>LAP as atrial ... septum shifts left ... clinical #pocus #a4c

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 ... Recent PCI/stenting ... management for select

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