10 results
Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
68M
Echocardiogram (A4c ... showing delayed right-to-left ... #cardiology #clinical ... #pocus #hepatology ... #a4c
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
(A4C) A4c view ... " c/w acute right ... concerning for Pulmonary ... #A4C #clinical ... #ultrasound #cardiology
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
other obvious causes ... m/s • Other signs ... size, Right atrial ... - Mechanism: causes ... diagnosis #management #hepatology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
lung disease Caused ... by intrapulmonary ... atrial passage ... gas (ABC) analysis ... cirrhosis • Intra-pulmonary
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
on POCUS Echocardiogram ... typically from acute right ... strain related to pulmonary ... #clinical #cardiology ... #a4c #labeled
RV Failure secondary to Pulmonary Arterial Hypertension on Echocardiogram
Pulmonary arterial hypertension resulting in severe RV dilation
Echocardiogram Pulmonary ... This case illustrates ... 100% reliable sign ... Echocardiogram #clinical #cardiology ... #s4c #pocus
Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View

RCM is a disease of diastole —> severe
Though this case ... septum might look ... Echocardiogram #clinical #pocus ... echocardiogram #cardiology ... #a4c
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... as RAP>LAP as atrial ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary ... #cardiology #saline
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
echo contrast material ... described for Pulmonary ... here we see it in right ... #Clinical #POCUS ... Echocardiogram #Definity #A4C
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
syndrome): - Hematologic ... Treat underlying cause ... decompression SVC ... interventional radiology ... renal failure, pulmonary