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 ... being noted in the right ... with intracardiac shunt ... #hepatology #clinical
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Intracardiac Right ... to Left Shunt ... Defect ** • Atrial ... Defect Pulmonary Right ... to Left Shunt
Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
68M
Echocardiogram (A4c ... ) with bubble study ... showing delayed right-to-left ... clinical #pocus #hepatology ... #a4c
Causes of Cyanosis in the Newborn - Differential Diagnosis Algorithm
Peripheral Only:
 • Poor Perfusion
 • Acrocyanosis
Hemoglobinopathy:
Only: • Poor Perfusion ... Sulfhemoglobin Left-to-Right ... Shunt: • Patent ... Arteriosus • Atrial ... Venous Return Right-to-Left
Right to Left Shunt on POCUS Echocardiogram (S4C)

Dr. Ashley Miller @icmteaching

#Shunt #POCUS #Echocardiogram #S4C #clinical #cardiology
Right to Left Shunt ... Echocardiogram (S4C ... icmteaching #Shunt ... Echocardiogram #S4C ... clinical #cardiology #bubble
Confirmation that central line is placed on the venous side by visualizing echogenic air bubbles in
echogenic air bubbles ... in right atrium ... #criticalcare #S4C
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
1) or anatomic shunt ... cardiac cycles after right ... atrial passage ... gas (ABC) analysis ... management #treatment #hepatology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Atrium - Differential ... shunt 2. ... #Atrium #RA #Differential ... echocardiogram #s4c ... #pocus #bubble
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Age-Adjusted Gradient • Right ... to Left Shunt ... - Anatomic Shunt ... Disease and more • Diffusion ... Gradient #alveolar #arterial
Blood Disorders - Markers and Differential Diagnosis Algorithm 
Acute
 • Myloid (AML) - CD13, CD33, CD34,
Pseudo Pelger-Huet ... ) - CD38(new), Light ... Amy Chung, MD, MSc ... Blood #Disorders #hematology