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 ... #bubble #shunting ... #hepatology #clinical
Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
68M
Echocardiogram (A4c ... ) with bubble study ... Echocardiogram #bubble ... clinical #pocus #hepatology ... #a4c
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
1) or anatomic shunt ... (Type 2) Clinical ... cycles after right atrial ... blood gas (ABC) ... management #treatment #hepatology
Classification of Pelvic Ring Fractures: Mechanisms, Clinical Features and Complications
 • Anterior Posterior Compression (APC) -
Grade 2 - Pubic ... Grade 3 - APC 2 ... Vertical Shear (VS) - Axial ... - LC Grade 2 ... #Orthopedics #MSK
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... left to right shunt ... 2. ... echocardiogram #s4c ... #pocus #bubble
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
• Continue for 2- ... portosystemic shunt ... Surveillance EGD ~2 ... procedure and every 2- ... endoscopy #varices #hepatology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... = PFO 2. ... #2 c/w hepatopulmonary ... as RAP>LAP as atrial ... clinical #pocus #a4c
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
common in APL (2- ... • Triggers: ATRA ... HoTN, edema and effusions ... Moderate > 2/3 and ... diagnosis #management #hematology
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
ICU Liberation Bundle ... Total scores >2 ... Propofol infusion ... Shorter t1/2 vs. ... lorazepam (2-6h
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
suggested by warmth, effusion ... peripheral vs axial ... the morning • Effusion ... OLIGOARTHRITIS • 2- ... Differential #Diagnosis #MSK