9 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
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... left to right shunt ... echocardiogram #s4c ... #pocus #bubble
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
Intraarticular Chondroma - MSK Radiology
Imaging Findings:
 • Subtle soft-tissue infrapatellar mass seen obscuring Hoffa's fat pad.
Intraarticular Chondroma - MSK ... although isointense relative ... Usually NOT joint effusions ... Usually present with effusion ... Radiology #diagnosis #msk
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 ... line non-benzo sedative ... Propofol infusion
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 ... aureus • Gram-negative ... Differential #Diagnosis #MSK
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
Solitary Cell Plasmacytoma

What?
• Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma)
• In 3%
creating a “soap bubble ... SPB - commonly axial ... marrow biopsy negative ... Diagnosis #Workup #Hematology