17 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 ... Summary A defect ... , 88% spec • Contrast-enhanced ... Arterial blood gas (ABC ... Positive findings on contrast-enhanced
Hansen's Disease (Leprosy)
 • Transmission - not completely understood, ?nasal droplets
 • Symptoms appear ~5 years
people do not contract ... factors: Close contact ... Infiltration of dermis & SC ... #Leprosy #diagnosis ... #management #treatment
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
(chronic lung disease ... , left heart disease ... mPAP > 25mmHg, PVR ... guanylate cyclase (sGC ... #management #hepatology
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
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... - Differential Diagnosis ... #Negative #Contrast ... #Differential #Diagnosis ... echocardiogram #s4c
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
and Management ... shoe size, ↑ heel-pad ... Pituitary MRI+contrast ... Management: ... #Management #Endocrinology
Chagas Disease - American Trypanosomiasis - Diagnosis and Management Summary
Chagas disease (American trypanosomiasis) is an infectious
Trypanosomiasis - Diagnosis ... and Management ... others: AV blocks, PVC ... IFA) assays to detect ... #Management #Treatment