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 ... Atrial #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 ... you close the defect ... Stankovic, MD, PhD ... Echocardiogram #a4c
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... of the contrast ... Stankovic, MD, PhD ... 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 ... Arterial 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
Approach to Thrombotic Microangiopathy (TMA) - Differential Diagnosis and Management Algorithm

Suspected TMA: Unexplained thrombocytopenia + MAHA
Microangiopathy (TMA) - Differential ... Diagnosis and Management ... function panel, Direct ... Matthew Ho, MD PhD ... #Diagnosis #Management
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
Floaters - Differential Diagnosis Framework

What?
Vitreous Floaters:
• Microscopic collagen fibers within the vitreous that tend to clump
Floaters - Differential ... Diagnosis Framework ... with visual field defect ... syneresis) and contract ... #Diagnosis #Ocular
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
and Management ... shoe size, ↑ heel-pad ... Differential Diagnosis ... Pituitary MRI+contrast ... Management:
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Diagnostic criteria ... mPAP > 25mmHg, PVR ... guanylate cyclase (sGC ... directly stimualtes sGC ... #management #hepatology