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 ... 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 ... #hepatology
Molluscum Contagiosum 
Clinical 
 • Most common in school-age children 
 • Transmitted by direct contact
Transmitted by direct ... contact • Painless ... #Contagiosum #Diagnosis ... #Clinical #Management ... #Dermatology
Approach to Thrombotic Microangiopathy (TMA) - Differential Diagnosis and Management Algorithm

Suspected TMA: Unexplained thrombocytopenia + MAHA
- Differential Diagnosis ... and Management ... function panel, Direct ... Matthew Ho, MD PhD ... #hematology
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
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
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