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

An elderly patient with dyspnea -
Echocardiogram with Contrast ... (a4c) An elderly ... Stankovic, MD, PhD ... Echocardiogram #Contrast ... #a4c #clinical
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram (a4c ... Stankovic, MD, PhD ... #ASD #Bubble #Contrast ... Echocardiogram #a4c
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
associated with initial contact ... initial ST-papilla contact ... the anatomy - PAD ... gastroenterology #management ... #diagnosis
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... washout of the contrast ... Stankovic, MD, PhD ... #Negative #contrast ... septal #defect #a4c
Algorithm for Suspected SVC Syndrome

SVC syndrome suspected: Facial/arm/neck edema, distended neck/chest veins, facial plethora, dyspnea, cough,
for Suspected SVC ... Syndrome SVC ... Matthew Ho, MD PhD ... Syndrome #Algorithm #diagnosis ... #management #vascular
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
and Management ... , 88% spec • Contrast-enhanced ... echocardiography - Assess for IPVD ... Arterial blood gas (ABC ... Positive findings on contrast-enhanced
Hansen's Disease (Leprosy)
 • Transmission - not completely understood, ?nasal droplets
 • Symptoms appear ~5 years
people do not contract ... factors: Close contact ... Infiltration of dermis & SC ... Disease #Leprosy #diagnosis ... #management #treatment
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
and Management ... shoe size, ↑ heel-pad ... Pituitary MRI+contrast ... Management: ... #Management #Endocrinology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... - Differential Diagnosis ... #Negative #Contrast ... #Differential #Diagnosis ... echocardiogram #s4c
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Diagnostic criteria ... mPAP > 25mmHg, PVR ... guanylate cyclase (sGC ... directly stimualtes sGC ... #management #hepatology