39 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
Intracardiac Septal Masses / Thickening on Echocardiogram - Differential Diagnosis - 4 separate cases:
Case 1: LV
Intracardiac Septal ... Diagnosis - 4 separate ... cases: Case 1: ... #Intracardiac #Septal ... Echocardiogram #clinical #a4c
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Differential Diagnosis ... and Evaluation ... Hyponatremia: 1) ... status (edema, JVD ... Medical history (cardiac
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
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
Nephrotoxins (NSAlDs, contrast ... /bladder US w/ PVR ... Atheroemboli — 1% ... AKI #Nephrology #Diagnosis ... Algorithm #Causes #Differential