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

An elderly patient with dyspnea -
Atrial Septal Defect ... (ASD) with Shunting ... (a4c) An elderly ... Stankovic, MD, PhD ... #Contrast #a4c
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 = a washout of the contrast (agitated saline) in the right atrium in
) in the right atrium ... patient with an ASD ... 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
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Giant dilated left atrium ... Echocardiogram (a4c ... ASD with R/L shunting ... Stankovic, MD, PhD ... #a4c #Echocardiogram
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Atrium - Differential ... Diagnosis 1. ... Small secundum ASD ... 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
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:
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