36 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 ... LV Clot Case 2: ... #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 ... acute vs. chronic) 2) ... 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 ... Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... echocardiogram #s4c
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
tissue perfusion 2. ... 66% of shock) • Septic ... acute valvular rupture ... Classification #types #diagnosis ... #criticalcare #differential