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 ... #Contrast #a4c ... #clinical #pocus
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 ... Ivan_Echocardio #atrial #septal ... #a4c #clinical
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... Stankovic, MD, PhD ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram ... #clinical #cardiology
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
most support her diagnosis ... artery filling defect ... and paradoxical septal ... Thrombus #InTransit #clinical ... echocardiogram #a4c
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
and Management ... shunt (Type 2) Clinical ... , 88% spec • Contrast-enhanced ... passage • Arterial blood ... gas (ABC) analysis
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
the ST with the septum ... 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
of ventricular septum ... 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 ... #cardiology #clinical ... echocardiogram #s4c
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
bacteremia: IVDU, dental ... most common (63%) Clinical ... : - MRI with contrast ... Locate the source: blood ... #management
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: