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asd atrial clinical echocardiogram pocus bubble cardiology hepatology shunting acromegaly biliary cannulation difficult disease effect endocrinology ercp fungal gastroenterology hansens
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
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 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
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 Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... of the contrast ... Stankovic, MD, PhD ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram
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 Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
and Management ... , 88% spec • Contrast-enhanced ... Arterial blood gas (ABC ... ) on room air Treatment ... #management #treatment
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 ... pressure < 15mmHg TREATMENT ... guanylate cyclase (sGC ... #management #hepatology
Hansen's Disease (Leprosy) • Transmission - not completely understood, ?nasal droplets • Symptoms appear ~5 years
people do not contract ... China, India, Nepal ... factors: Close contact ... Disease #Leprosy #diagnosis ... #management #treatment
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
and Management ... shoe size, ↑ heel-pad ... Pituitary MRI+contrast ... Management: ... #Treatment #Pathophysiology
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
Fever, cough, chills ... : • Direct fungal ... Isolated fever • Septic ... • Meningitis, septic ... #Management #Infections
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