23 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 ... #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 ... Stankovic, MD, PhD ... Ivan_Echocardio #atrial #septal ... Echocardiogram #a4c
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... washout of the contrast ... Stankovic, MD, PhD ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram
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
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
infarct Ventricular Septal ... expands (instead of contracts ... ) • May need contrast ... acuteMI #cardiology #differential ... #diagnosis #timeline
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
Intracardiac Septal Masses / Thickening on Echocardiogram - Differential Diagnosis - 4 separate cases:
Case 1: LV
Intracardiac Septal ... Echocardiogram - Differential ... Diagnosis - 4 separate ... #Intracardiac #Septal ... Echocardiogram #clinical #a4c
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Right Atrium - Differential ... Diagnosis 1. ... #Negative #Contrast ... echocardiogram #s4c
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
procedure • Cardiac ... loss • Myalgias Cardiac ... : • New cardiac ... Glomerulonephritis Septic ... Marantic (NTBE) Differential
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 ... Arterial blood gas (ABC ... Positive findings on contrast-enhanced