13 results
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... Echocardiogram with Contrast ... (a4c) An elderly ... Stankovic, MD, PhD ... #Contrast #a4c
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... Stankovic, MD, PhD ... #contrast #effect ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram
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 in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Atrium - Differential ... Diagnosis 1. ... #Contrast #Effect ... echocardiogram #s4c
Approach to Thrombotic Microangiopathy (TMA) - Differential Diagnosis and Management Algorithm

Suspected TMA: Unexplained thrombocytopenia + MAHA
Diagnosis and Management ... function panel, Direct ... normal • DAT negative ... Matthew Ho, MD PhD ... #Diagnosis #Management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
and Management ... , 88% spec • Contrast-enhanced ... echocardiography - Assess for IPVD ... Arterial blood gas (ABC ... Positive findings on contrast-enhanced
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
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
and Management ... shoe size, ↑ heel-pad ... Differential Diagnosis ... Pituitary MRI+contrast ... Management:
Intraarticular Chondroma - MSK Radiology
Imaging Findings:
 • Subtle soft-tissue infrapatellar mass seen obscuring Hoffa's fat pad.
although isointense relative ... • Best diagnostic ... • Post-contrast ... symptoms due to mass effect ... Differential diagnosis