9 results
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
demonstrated by contrast ... from agitated saline ... visualized in the left atrium ... being noted in the right ... #hepatology #clinical
Confirmation that central line is placed on the venous side by visualizing echogenic air bubbles in
echogenic air bubbles ... in right atrium ... Echocardiogram #POCUS ... #Clinical #criticalcare ... #S4C
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Diagnosis 1. ... opacification by agitated saline ... #clinical #echocardiogram ... #s4c #pocus #bubble
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
(agitated saline ... ) in the right atrium ... septal #defect #a4c ... Echocardiogram #clinical ... #cardiology #pocus
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
diffusion-perfusion defect (Type 1) ... shunt (Type 2) Clinical ... injected agitated saline ... cardiac cycles after right ... gas (ABC) analysis
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... as RAP>LAP as atrial ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
algorithm to determine ... if stress test ... Change in clinical ... CARP, DECREASE V trials ... stratification #diagnosis
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
GrepMed Handbook Clinical ... decade → peripheral/acral ... and Workup: • ... Pituitary MRI+contrast ... Management: • 1st line
Urine Microscopy - Urinary Sediment Examination Instructions
Preparation of the urine for microscopic examination:
 • Clean catch
esterase • Fill conical ... leaving only 0.5 to 1 ... desired and allow 1 ... and condenser focus ... #Instructions #steps