12 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 ... (agitated saline ... ) 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
, 88% spec • Contrast-enhanced ... cycles after right atrial ... blood gas (ABC) ... Positive findings on contrast-enhanced ... management #treatment #hepatology
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
(A4C) Hepatopulmonary ... demonstrated by contrast ... from agitated saline ... visualized in the left atrium ... #hepatology #clinical
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Atrium - Differential ... opacification by agitated saline ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
contrast study, ... with end-stage liver ... as RAP>LAP as atrial ... septum shifts left ... clinical #pocus #a4c
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 ... hemodynamics Liver ... diagnosis #management #hepatology
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
Early liver disease ... Prolonged Activated Partial ... prolong the aPTT alone ... deficiencies: Contact ... #differential #hematology
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
decade → peripheral/acral ... macroglossia, goiter, LV ... • Serum IGF-1 level ... Pituitary MRI+contrast ... Management: • 1st line