14 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*)
 •
of Hypoxemia- Differential ... Right to Left Shunt ... Defect ** • Atrial ... Right to Left Shunt ... Hypoxemia #Hypoxia #Differential
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
Causes of Cyanosis in the Newborn - Differential Diagnosis Algorithm
Peripheral Only:
 • Poor Perfusion
 • Acrocyanosis
Hemoglobinopathy:
the Newborn - Differential ... Only: • Poor Perfusion ... Left-to-Right Shunt ... Arteriosus • Atrial ... Cyanosis #Newborn #Differential
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... VIQ mismatch and shunt ... pulmonary embolus SHUNT ... shunting (eg, atrial ... Failure #hypoxia #Differential
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
either due to a diffusion-perfusion ... 1) or anatomic shunt ... cycles after right atrial ... blood gas (ABC) ... management #treatment #hepatology
Hepatic Masses on MRI - Differential Diagnosis by MRI Findings

Masses: Hemangioma, Adenoma, FNH, HCC, Fibrolamellar HCC,
Masses on MRI - Differential ... Modalities: T1, T2, Arterial ... Out-of-phase, DWI, ADC ... #Masses #MRI #differential ... diagnosis #liver #hepatology
Blood Disorders - Markers and Differential Diagnosis Algorithm 
Acute
 • Myloid (AML) - CD13, CD33, CD34,
- Markers and Differential ... Pseudo Pelger-Huet ... Amy Chung, MD, MSc ... Blood #Disorders #hematology ... #Markers #Differential
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... - Differential ... left to right shunt ... echocardiogram #s4c ... #pocus #bubble
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 ... Hypoxia #hypoxemia #differential