12 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 ... #Septal #Defect ... #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 ... Ivan_Echocardio #atrial ... Echocardiogram #a4c
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... ) in the right atrium ... Stankovic, MD, PhD ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram
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 ... blood gas (ABC) ... Positive findings on contrast-enhanced
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Atrium - Differential ... Diagnosis 1. ... #Negative #Contrast ... echocardiogram #s4c
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Presence of pulmonary arterial ... ventricular size, Right atrial ... mPAP > 25mmHg, PVR ... guanylate cyclase (sGC ... #management #hepatology
Complete AV Canal Defect on Echocardiogram

Among pts with Pulmonary Arterial Hypertension, those with Eisenmenger syndrome have
Complete AV Canal Defect ... with Pulmonary Arterial ... Stankovic, MD, PhD ... Complete #AVCanal #Defect ... #a4c #Echocardiogram
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
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
and Management ... shoe size, ↑ heel-pad ... decade → peripheral/acral ... Pituitary MRI+contrast ... Management:
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
heart function (JVD ... regurgitation) Diagnosis ... multiple bilateral defects ... • Confirm diagnosis ... #management