20 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
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
patient with an ASD ... Stankovic, MD, PhD ... effect #washout #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
the ST with the septum ... be more relaxed and ... initial ST-papilla contact ... the anatomy - PAD ... gastroenterology #management #diagnosis
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Right Atrium - Differential ... Diagnosis 1. ... Small secundum ASD ... echocardiogram #s4c
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
procedure • Cardiac ... : • New cardiac ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD
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
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
66% of shock) • Septic ... acute valvular rupture ... pneumothorax, cardiac ... Classification #types #diagnosis ... #criticalcare #differential