25 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
Candidates for Medical Treatment of Ectopic Pregnancy with Methotrexate 
 - Hemodynamically stable 
 - No
evidence of ectopic rupture ... Ectopic gestational sac ... 3.5 cm - No fetal ... cardiac activity ... Ectopic #Pregnancy #Management
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
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
the ST with the septum ... initial ST-papilla contact ... the anatomy - PAD ... gastroenterology #management ... #diagnosis
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
high voltage Cardiac ... especially with AC ... (delayed), TM rupture ... Electricity #Evaluation #Diagnosis ... #Management #Emergency
Algorithm for Suspected SVC Syndrome

SVC syndrome suspected: Facial/arm/neck edema, distended neck/chest veins, facial plethora, dyspnea, cough,
Syndrome SVC ... or diminished cardiac ... Matthew Ho, MD PhD ... Syndrome #Algorithm #diagnosis ... #management #vascular
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
and Management ... , 88% spec • Contrast-enhanced ... left heart 3-6 cardiac ... Arterial blood gas (ABC ... Positive findings on contrast-enhanced
Hansen's Disease (Leprosy)
 • Transmission - not completely understood, ?nasal droplets
 • Symptoms appear ~5 years
people do not contract ... China, India, Nepal ... factors: Close contact ... Disease #Leprosy #diagnosis ... #management #treatment