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diagnosis cardiology clinical echocardiogram management 1: acromegaly atrium bubble differential doubleshunt effect emergencies endocrinology hemeonc hepatology hepatopulmonary intrapulmonary negative oncologic
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... to right shunt 2. ... echocardiogram #s4c ... #pocus #bubble
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 Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... , 88% spec • Contrast-enhanced ... cycles after right atrial ... blood gas (ABC) ... ) on room air Treatment
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
bubbles = PFO 2. ... as RAP>LAP as atrial ... appears to be coming ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary
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 Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
Acromegaly: frontal bossing ... decade → peripheral/acral ... Mortality due to CVD ... Pituitary MRI+contrast ... Endocrinology #Treatment
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
rising > 500 → ... high LDH, low Ca ... decompression SVC ... 200–300 mL/h) 2. ... CAR-T day 3–10; 2–
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