16 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 ... Echocardiogram #A4C ... #bubble #shunting
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
• Pulmonary Arterial ... Right to Left Shunt ... Defect ** • Atrial ... Right to Left Shunt ... Hypoventilation Syndrome
Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
68M
Echocardiogram (A4c ... ) with bubble study ... right-to-left shunt ... Echocardiogram #bubble ... pocus #hepatology #a4c
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
obesity-hypoventilation syndrome ... VIQ mismatch and shunt ... pulmonary embolus SHUNT ... hepatopulmonary syndrome ... shunting (eg, atrial
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... 1) or anatomic shunt ... cycles after right atrial ... blood gas (ABC) ... hepatopulmonary #syndrome
Pericardiocentesis - Agitated saline injected to confirm needle location. Bubbles seen in pericardial space.

Dr. Robert Jones
Bubbles seen in ... #Pericardial #Effusion ... #Clinical #Ultrasound ... #POCUS #A4c #Echocardiogram
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Right to Left Shunt ... Hepatopulmonary Syndrome ... Disease and more • Diffusion ... Gradient #alveolar #arterial
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 ... compartment syndrome ... especially with AC
Knee Effusion on POCUS

Subtle Knee effusion can be made more evident by milking the inferior joint
Knee Effusion on ... POCUS Subtle Knee ... effusion can be ... #POCUS #ultrasound ... #clinical #Msk
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
disease - Renal ultrasound ... Duplex Doppler ultrasound ... selective renal intra-arterial ... • Cushing’s syndrome ... Mineralocorticoid excess syndromes