10 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
Diagnosis and Management ... 1) or anatomic shunt ... cycles after right atrial ... blood gas (ABC) ... #treatment #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 ... Evaluation #Diagnosis #Management
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Diagnosis and Management ... bolus → 50mcg/hr infusion ... portosystemic shunt ... Bleeding #Diagnosis #Management ... endoscopy #varices #hepatology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... left to right shunt ... Effect #Right #Atrium ... echocardiogram #s4c ... #pocus #bubble
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
• Triggers: ATRA ... HoTN, edema and effusions ... or 15 days of ATRA ... APML #diagnosis #management ... #hematology #oncology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Double Shunt on ... Early transit of bubbles ... as RAP>LAP as atrial ... (extra-cardiac shunt ... clinical #pocus #a4c
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Addressing the ICU Triad ... ICU Liberation Bundle ... Spontaneous Awakening Trial ... Propofol infusion ... CriticalCare #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... event, follow ACC ... indication of AC ... CARP, DECREASE V trials ... medical and surgical management