16 results
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 ... #Bubble #Contrast ... Echocardiogram #a4c
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 ... #a4c #clinical ... #pocus #bubble #
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... - Differential Diagnosis ... Small secundum ASD ... echocardiogram #s4c ... #pocus #bubble
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... Stankovic, MD, PhD ... effect #washout #ASD ... septal #defect #a4c
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
be more relaxed and ... initial ST-papilla contact ... the anatomy - PAD ... gastroenterology #management ... #diagnosis
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
Intraarticular Chondroma - MSK Radiology
Imaging Findings:
 • Subtle soft-tissue infrapatellar mass seen obscuring Hoffa's fat pad.
Imaging Findings: • Subtle ... • Best diagnostic ... • Post-contrast ... Differential diagnosis ... clinical #Radiology #diagnosis
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