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

An elderly patient with dyspnea -
Atrial Septal Defect ... on Echocardiogram ... with Contrast ( ... #ASD #Echocardiogram ... #clinical #pocus
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
patient with an ASD ... #effect #washout ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram ... clinical #cardiology #pocus
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram ... Ivan_Echocardio #atrial ... #ASD #Bubble #Contrast ... clinical #cardiology #pocus
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
on Echocardiogram ... (PLAX and M-Mode ... female metastatic breast ... #malignant #clinical ... #cardiology #pocus
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right ... Small secundum ASD ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
decade → peripheral/acral ... before epiphyseal fusion ... colon (↑polyps & malignancy ... to CVD & colon malignancy ... Pituitary MRI+contrast
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
/ hypoxemia -> focus ... on improving perfusion ... drugs, seizures, malignancy ... ’s • Reduced Arterial ... Neoplasia/Warburg effect
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Failure - Apnea/poor effort ... Binder) • Use POCUS ... 15 mg/kg/hr IV infusion ... pupil, Cushing's triad ... box below) • Contact