21 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 ... #Contrast #a4c
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... Stankovic, MD, PhD ... #contrast #effect ... #washout #ASD # ... defect #a4c #Echocardiogram
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram (a4c ... Ivan_Echocardio #atrial ... #ASD #Bubble #Contrast ... Echocardiogram #a4c
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Diagnosis 1. ... Small secundum ASD ... #Contrast #Effect ... echocardiogram #s4c
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
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
Approach to Thrombotic Microangiopathy (TMA) - Differential Diagnosis and Management Algorithm

Suspected TMA: Unexplained thrombocytopenia + MAHA
- Differential Diagnosis ... and Management ... function panel, Direct ... normal • DAT negative ... Matthew Ho, MD PhD
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
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:
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
and Management ... spread of the Gram-negative ... syndrome: • Fever, chills ... wrists, ankles • Axial ... #Management #Microbiology