13 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 ... Stankovic, MD, PhD ... Echocardiogram #a4c ... #clinical #cardiology
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... Stankovic, MD, PhD ... atrial #septal #defect ... #a4c #Echocardiogram ... #clinical #cardiology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
and Management ... Summary A defect ... shunt (Type 2) Clinical ... , 88% spec • Contrast-enhanced ... Arterial blood gas (ABC
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
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... - Differential Diagnosis ... #Negative #Contrast ... #cardiology #clinical ... echocardiogram #s4c
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
and Management ... GrepMed Handbook Clinical ... shoe size, ↑ heel-pad ... Pituitary MRI+contrast ... Management:
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... heart function (JVD ... multiple bilateral defects ... have inoperable disease ... #management
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 • Direct lesion contact during sex is responsible
Syphilis - Clinical ... Primary Syphilis • Direct ... lesion contact ... Syphilis #stages #diagnosis ... #management #Treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Ischemic heart disease ... Change in clinical ... medical and surgical management ... for select patients ... stratification #diagnosis