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

An elderly patient with dyspnea -
Atrial Septal Defect ... (ASD) with Shunting ... Ivan_Echocardio #Atrial ... #Contrast #a4c ... #clinical #pocus
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Ivan_Echocardio #atrial ... #ASD #Bubble #Contrast ... #clinical #cardiology ... #pocus #shunting
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
patient with an ASD ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
in arterial oxygenation ... lung disease Caused ... (Type 1) or anatomic ... cycles after right atrial ... passage • Arterial
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Diagnosis 1. ... Small secundum ASD ... Diagnosis #cardiology #clinical ... echocardiogram #s4c ... #pocus #bubble
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
GrepMed Handbook Clinical ... decade → peripheral/acral ... are mixed GH & PRL ... Pituitary MRI+contrast ... or refractory cases
In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
brand name echo contrast ... material) was required ... is the cardiac ultrasound ... #Clinical #POCUS ... Echocardiogram #Definity #A4C
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... >LAP as atrial septum ... stretched PFO or ASD ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Ultrasound

Preferred procedure in pregnant women and in patients allergic to IV contrast.
Not dependent on the composition
Ultrasound Preferred ... allergic to IV contrast ... detects uric-acid ... small stones from arterial ... #Clinical #POCUS
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... indication of AC ... Recent PCI/stenting ... CARP, DECREASE V trials ... management for select