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

An elderly patient with dyspnea -
Atrial Septal Defect ... (a4c) An elderly ... Stankovic, MD, PhD ... #a4c #clinical ... #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 ... Stankovic, MD, PhD ... Ivan_Echocardio #atrial #septal ... #a4c #clinical
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... washout of the contrast ... Stankovic, MD, PhD ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
the ST with the septum ... initial ST-papilla contact ... the anatomy - PAD ... gastroenterology #management ... #diagnosis
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... - Differential Diagnosis ... #Negative #Contrast ... echocardiogram #s4c ... #pocus #bubble
Hansen's Disease (Leprosy)
 • Transmission - not completely understood, ?nasal droplets
 • Symptoms appear ~5 years
people do not contract ... China, India, Nepal ... factors: Close contact ... Disease #Leprosy #diagnosis ... #management #treatment
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
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
of ventricular septum ... mPAP > 25mmHg, PVR ... guanylate cyclase (sGC ... directly stimualtes sGC ... #management #hepatology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
on this saline contrast ... Early transit of bubbles ... >LAP as atrial septum ... clinical #pocus #a4c ... cardiology #saline #contrast