21 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
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
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
Hepatopulmonary Syndrome - Diagnosis ... 1) or anatomic shunt ... cycles after right atrial ... blood gas (ABC) ... management #treatment #hepatology
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
Hepatic Masses on MRI - Differential Diagnosis by MRI Findings

Masses: Hemangioma, Adenoma, FNH, HCC, Fibrolamellar HCC,
- Differential Diagnosis ... Modalities: T1, T2, Arterial ... Out-of-phase, DWI, ADC ... #differential #diagnosis ... #liver #hepatology
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
Blood Disorders - Markers and Differential Diagnosis Algorithm 
Acute
 • Myloid (AML) - CD13, CD33, CD34,
and Differential Diagnosis ... Pseudo Pelger-Huet ... Amy Chung, MD, MSc ... Blood #Disorders #hematology ... #Differential #Diagnosis