15 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
Hemodynamically stable ... evidence of ectopic rupture ... Ectopic gestational sac ... 3.5 cm - No fetal ... cardiac activity
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
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Distributive shock - Septic ... Anaphylaxis - Post-cardiac ... papillary muscle rupture ... Cardiogenic #Comparison #Table ... #Diagnosis #Features
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
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
of shock) • Septic ... acute valvular rupture ... pneumothorax, cardiac ... Classification #Types #diagnosis ... warm #wet #dry #table
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
, 88% spec • Contrast-enhanced ... echocardiography - Assess for IPVD ... left heart 3-6 cardiac ... Arterial blood gas (ABC ... Positive findings on contrast-enhanced
Pericardial Consistency Comparison on POCUS - Blood, Fat, Pus and Serous

Unclotted blood remains anechoic around clotted
Fat pad has echoes ... independently from cardiac ... #Fluid #POCUS #Table ... Echocardiogram #S4C