10 results
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... with Contrast ( ... a4c) An elderly ... #Septal #Defect ... #Contrast #a4c
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
Echocardiogram ... (a4c) A patient ... a look at the LV ... Ivan_Echocardio #atrial ... #septal #defect
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... of the contrast ... ) in the right atrium ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Diagnosis and Management ... , 88% spec • Contrast-enhanced ... blood gas (ABC) ... Positive findings on contrast-enhanced ... #treatment #hepatology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Pathophysiology: • Defect ... in fetal free fatty ... Antithrombin Ill • Ultrasound ... #Pregnancy #hepatology ... obgyn #diagnosis #management
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Transthoracic echocardiogram ... ventricular size, Right atrial ... of ventricular septum ... Hypertension #diagnosis #management ... #hepatology
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
Diagnosis and Management ... decade → peripheral/acral ... macroglossia, goiter, LV ... • Serum IGF-1 level ... Pituitary MRI+contrast
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
on this saline contrast ... with end-stage liver ... as RAP>LAP as atrial ... septum shifts left ... clinical #pocus #a4c
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Cardiac LV Thrombus ... on Echocardiogram ... (A4C) 48 year ... maybe consider contrast ... are not POCUS: serial
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... dysfunction or LV ... CARP, DECREASE V trials ... medical and surgical management ... for select patients