4270 results
PFO with shunting on Contrast Echocardiogram (a4c) 
74 yo presents with CVA. RoPE score of 4.
PFO with shunting ... DrShemisa #PFO #shunting ... a4c #clinical #cardiology
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Septal Defect (ASD ... ) with Shunting ... with dyspnea - ASD ... Septal #Defect #ASD ... pocus #bubble #Shunting
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... previously undiagnosed ASD ... septal #defect #ASD ... a4c #clinical #cardiology ... #pocus #shunting
Double Counting on Cardiac Monitoring
The “double counting” heart rate phenomenon. T waves are so prominent the
Double Counting ... Monitoring The “double counting ... EM_RESUS #Double #Counting ... telemetry #clinical #cardiology
Ascites: Physical Exam Diagnostic Accuracy

Sensitivity and Specificity: Shifting Dullness, Bulging Flanks. Fluid Wave 

Source: Joseph D.
Physical Exam Diagnostic ... Sensitivity and ... Specificity: Shifting ... Science of Bedside Diagnosis ... #Diagnosis #PhysicalExam
Syncope in 3 Steps
1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA)
2. Heart vs
Heart • Pump > AS ... like Gl loss, shunting ... hypersensitivity and ... AL amyloidosis and ... #differential #diagnosis
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential Diagnosis ... ↓Ventilation (↑Shunting ... #Differential #Diagnosis
Acute Kidney Injury (AKI) - Differential Diagnosis Framework

PRE-Renal AKI:
 • Hypovolemia
 • Congestion
 • Medications
 •
- Differential Diagnosis ... Medications • Shunting ... #Differential #Diagnosis
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
- Differential Diagnosis ... perfusion (Q) and ... Intrapulmonary shunting ... , intracardiac shunting ... #Differential #Diagnosis
ROTH Score to Assess O2 Sat for Telemedicine

Have pt take deep breath in & count out
single breath, as ... rapidly as possible ... Air) Maximal Counting ... < 7 OR Counting ... #Telemedicine #Diagnosis