15 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
Echocardiogram (a4c ... you close the defect ... Stankovic, MD, PhD ... atrial #septal #defect ... Echocardiogram #a4c
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
effect = a washout ... Stankovic, MD, PhD ... #effect #washout ... atrial #septal #defect ... #a4c #Echocardiogram
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Summary A defect ... diffusion-perfusion defect ... Arterial blood gas (ABC ... • Oxygenation defect ... #hepatology
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
vasoconstricting effect ... endothelin - Effect ... metabolism - Effect ... proliferation - Effect ... #management #hepatology
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm

Peripheral Smear concerning for malignancy?
- Differential Diagnosis ... anemia, Rebound effect ... Lymphoma, Rebound effect ... Vasculitides, IBD, Celiac disease ... Matthew Ho, MD PhD
Molluscum Contagiosum 
Clinical 
 • Most common in school-age children 
 • Transmitted by direct contact
Transmitted by direct ... contact • Painless ... • Typically affects ... #Contagiosum #Diagnosis ... #Dermatology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right ... - Differential Diagnosis ... #Effect #Right ... echocardiogram #s4c
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
and Management ... effects: Headache ... 2 adenoma mass effect ... Pituitary MRI+contrast ... Management:
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
Early liver disease ... deficiencies: Contact ... Supratherapeutic warfarin effect ... Prolonged #Causes #diagnosis ... #differential #hematology