21 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 ... #Septal #Defect ... #a4c #clinical
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
Echocardiogram (a4c ... Stankovic, MD, PhD ... Ivan_Echocardio #atrial ... #septal #defect ... Echocardiogram #a4c
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
) in the right atrium ... Stankovic, MD, PhD ... #washout #ASD #atrial ... #septal #defect ... #a4c #Echocardiogram
Mitral Stenosis and Left Atrial Thrombus on Echocardiogram (a4c)

Mitral stenosis is a risk factor for LA
Stenosis and Left Atrial ... Echocardiogram (a4c ... of underlying cardiac ... Stankovic, MD, PhD ... #Thrombus #a4c
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pulmonary embolism • Cardiac ... • Esophageal rupture ... , PT. aPTT • Serial ... Matthew Ho, MD PhD
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... defect on cardiac ... Bubble #Study #ASD #Atrial ... Echocardiogram #A4C
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
high voltage Cardiac ... immediate, prior to ED arrival ... especially with AC ... (delayed), TM rupture ... Electricity #Evaluation #Diagnosis
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
associated with initial contact ... the ST with the septum ... initial ST-papilla contact ... the anatomy - PAD ... gastroenterology #management #diagnosis
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
, 88% spec • Contrast-enhanced ... echocardiography - Assess for IPVD ... left heart 3-6 cardiac ... blood gas (ABC) ... Positive findings on contrast-enhanced
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Presence of pulmonary arterial ... ventricular size, Right atrial ... of ventricular septum ... mPAP > 25mmHg, PVR ... guanylate cyclase (sGC