Shunting bubble - GrepMed

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Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when

Intrapulmonary shunting ... contrast TTE when bubbles ... Echocardiogram #A4C #bubble ... #shunting #hepatology

Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -

Defect (ASD) with Shunting ... clinical #pocus #bubble ... #Shunting

PFO with shunting on Contrast Echocardiogram (a4c)
74 yo presents with CVA. RoPE score of 4.

PFO with shunting ... DrShemisa #PFO #shunting ... cardiology #pocus #bubble

ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the

ASD on Bubble Contrast ... #defect #ASD #Bubble ... cardiology #pocus #shunting

Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
68M

Echocardiogram (A4c) with bubble ... Echocardiogram #bubble ... #shunting #intrapulmonary

Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on

Diagnosis Algorithm Bubble ... the same way on bubble

Arterial Line - Square Wave Test
The arterial line can measure BP inaccurately unless properly calibrated.

Counting oscillations ... tubing & any air bubbles

Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
• ↓ Atmospheric pressure
• Hypoventilation: CNS

↓Ventilation (↑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

Localization of Renal Tubular Defects
Fanconi Syndrome: Proximal tubule
Bartter Syndrome: Thick ascending loop of Henle
Gitelman Syndrome: Distal

Syndrome: Proximal tubule ... Distal convoluted tubule ... Syndrome: Collecting tubule

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