15 results
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Echocardiogram (A4C ... visualized in the left atrium ... with intracardiac shunt ... Echocardiogram #A4C ... #bubble #shunting
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
- Differential Diagnosis ... Right to Left Shunt ... Defect ** • Atrial ... Right to Left Shunt ... #Differential #Diagnosis
Causes of Cyanosis in the Newborn - Differential Diagnosis Algorithm
Peripheral Only:
 • Poor Perfusion
 • Acrocyanosis
Hemoglobinopathy:
- Differential Diagnosis ... Only: • Poor Perfusion ... Left-to-Right Shunt ... Arteriosus • Atrial ... #Differential #Diagnosis
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
- Differential Diagnosis ... VIQ mismatch and shunt ... pulmonary embolus SHUNT ... shunting (eg, atrial ... #Differential #Diagnosis
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome - Diagnosis ... 1) or anatomic shunt ... from IPVDs Diagnostic ... cycles after right atrial ... blood gas (ABC)
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
immediate, prior to ED arrival ... MSK - Fractures ... posterior shoulder - AC ... especially with AC ... Electricity #Evaluation #Diagnosis
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Right to Left Shunt ... - Anatomic Shunt ... Disease and more • Diffusion ... Gradient #alveolar #arterial ... #differential #diagnosis
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... - Differential Diagnosis ... left to right shunt ... echocardiogram #s4c ... #pocus #bubble
Classification of Pelvic Ring Fractures: Mechanisms, Clinical Features and Complications
 • Anterior Posterior Compression (APC) -
< 2.5cm - APC ... Grade 3 - APC 2 ... Vertical Shear (VS) - Axial ... #Orthopedics #MSK ... #diagnosis #complications
Intraarticular Chondroma - MSK Radiology
Imaging Findings:
 • Subtle soft-tissue infrapatellar mass seen obscuring Hoffa's fat pad.
Intraarticular Chondroma - MSK ... • Best diagnostic ... Usually NOT joint effusions ... Usually present with effusion ... #msk