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
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
high voltage Cardiac ... compartment syndrome ... may be severe and ... (delayed), TM rupture ... Electricity #Evaluation #Diagnosis
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Differential Diagnosis ... Abdominal compartment syndrome ... syndrome: troponin ... CK-MB, NT-proBNP, cardiac ... #Diagnosis #nephrology
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
Causes of Growth Discrepancy: Large for Gestational Age - Differential Diagnosis Algorithm
Maternal Factors:
 • Multiparity
 •
Gestational Age - Differential ... Diagnosis Algorithm ... Aboriginal, Hispanic, and ... hemorrhage • Uterine rupture ... #Diagnosis #Algorithm
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
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
Hypertension and ... Altered Mental ... Status (AMS) - Differential ... Diagnosis Framework ... stimulation Cardiac