21 results
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Echocardiogram (A4C ... Intrapulmonary shunting ... with intracardiac shunt ... Echocardiogram #A4C ... #bubble #shunting
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Defect (ASD) with Shunting ... with Contrast (a4c ... Echocardiogram #Contrast #a4c ... clinical #pocus #bubble ... #Shunting
PFO with shunting on Contrast Echocardiogram (a4c) 
74 yo presents with CVA. RoPE score of 4.
PFO with shunting ... Echocardiogram (a4c ... DrShemisa #PFO #shunting ... Echocardiogram #a4c ... cardiology #pocus #bubble
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram (a4c ... #defect #ASD #Bubble ... Echocardiogram #a4c ... cardiology #pocus #shunting
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 ... #shunting #intrapulmonary ... pocus #hepatology #a4c
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Differential Diagnosis Algorithm ... Right-to-Left Shunt ... ↓Ventilation (↑Shunting ... Differential #Diagnosis #Algorithm
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
Arterial Line - Square Wave Test 
The arterial line can measure BP inaccurately unless properly calibrated.
Counting oscillations ... BP - 1.5 - 2 ... tubing & any air bubbles ... HIGH BP - >2
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Differential Diagnosis Algorithm ... tests for the AC ... Direct palpation 2. ... Differential #Diagnosis #Algorithm
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
97% specificity 2) ... respiratory distress (grunting ... suggested if: - ANC