17 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
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
Algorithm for Suspected SVC Syndrome

SVC syndrome suspected: Facial/arm/neck edema, distended neck/chest veins, facial plethora, dyspnea, cough,
Syndrome SVC ... syndrome suspected ... or diminished cardiac ... Matthew Ho, MD PhD ... #diagnosis #management
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
high voltage Cardiac ... compartment syndrome ... especially with AC ... (delayed), TM rupture ... Electricity #Evaluation #Diagnosis
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
associated with initial contact ... the ST with the septum ... initial ST-papilla contact ... the anatomy - PAD ... gastroenterology #management #diagnosis
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... , 88% spec • Contrast-enhanced ... left heart 3-6 cardiac ... Arterial blood gas (ABC ... hepatopulmonary #syndrome
Facial Swelling - Differential Diagnosis Framework for Facial Edema

Infectious:
	• Dental abscess
	• Ludwig's angina
	• Vincent's angina
	• Cellulitis
	•
- Differential Diagnosis ... Infectious: • Dental ... eosinophilia (NEAE) • Contact ... Vascular: • SVC ... #Differential #Diagnosis
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
Differential Diagnosis ... perianal region (S2-S4 ... - decreased rectal ... Urodynamic studies (PVR ... #differential #diagnosis