15 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
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
effect = a washout ... ) in the right atrium ... Stankovic, MD, PhD ... #effect #washout ... #defect #a4c #Echocardiogram
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
Echocardiogram (a4c ... you close the defect ... Ivan_Echocardio #atrial ... #septal #defect ... Echocardiogram #a4c
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Summary A defect ... diffusion-perfusion defect ... cycles after right atrial ... • Oxygenation defect ... #management #treatment
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
vasoconstricting effect ... endothelin - Effect ... metabolism - Effect ... proliferation - Effect ... independent of NO - Effect
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right ... Diagnosis 1. ... #Effect #Right ... echocardiogram #s4c
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
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
and Management ... decade → peripheral/acral ... 2 adenoma mass effect ... Pituitary MRI+contrast ... #Treatment #Pathophysiology
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm

Peripheral Smear concerning for malignancy?
anemia, Rebound effect ... from treatment ... Lymphoma, Rebound effect ... Glucocorticoids, IL-1B, ATRA ... Matthew Ho, MD PhD
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... first-degree relative) to detect ... medication adverse effects ... Reflux #Disease #diagnosis ... #management #Gastroenterology