12 results
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Echocardiogram (A4C ... visualized in the left ... atrium within 3 ... #bubble #shunting ... #hepatology #clinical
Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
68M
Echocardiogram (A4c ... delayed right-to-left ... intrapulmonary #cardiology #clinical ... #pocus #hepatology ... #a4c
Venous Thrombosis vs Arterial Thrombosis - Differential Diagnosis Framework

VENOUS THROMBOSIS

 • Acquired Risk Factors:
	- >48 hours
Thrombosis - Differential ... Diagnosis Framework ... • Nephrotic Syndrome ... - Left ventricular ... #differential #
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
- Differential ... Diagnosis 1. ... ASD or PFO with left ... #clinical #echocardiogram ... #s4c #pocus #bubble
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
shunt (Type 2) Clinical ... Microbubbles appear in left ... heart 3-6 cardiac ... cycles after right atrial ... #treatment #hepatology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... (e.g., long QT syndrome ... Hypokalemia • Bundle ... Diagnosis: • PAC ... #differential #
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Liver Injury - Differential ... Diagnosis Algorithm ... vein: Budd-chiari syndrome ... #diagnosis #algorithm ... #hepatology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... hepatopulmonary syndrome ... as RAP>LAP as atrial ... septum shifts left ... #pocus #a4c #intrapulmonary
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
ALT AST:ALT Ratios ... • Gilbert's syndrome ... liver #chemistry #diagnosis ... #differential # ... Hepatology #transaminitis
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... / hypoxemia -> focus ... perfusion - Cardiac ... failure - Low cardiac ... - Compartment syndrome