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Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when

demonstrated by contrast ... TTE when bubbles ... Echocardiogram #A4C #bubble

ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the

ASD on Bubble Contrast ... #defect #ASD #Bubble ... #Contrast #Echocardiogram

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

An elderly patient with dyspnea -

Echocardiogram with Contrast ... Echocardiogram #Contrast ... clinical #pocus #bubble

PFO with shunting on Contrast Echocardiogram (a4c)
74 yo presents with CVA. RoPE score of 4.

with shunting on Contrast ... PFO #shunting #Contrast ... cardiology #pocus #bubble

PSLVC and ASD sinus venosus superior on Echocardiogram

Interesting case of patient with PLSVC demonstrated by bubble-test

demonstrated by bubble-test ... clinical #cardiology #bubble ... #contrast #pocus

Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left

Negative Contrast ... #Negative #Contrast ... echocardiogram #s4c #pocus #bubble

How do you work up an ischemic CVA?
A) Initial Evaluation
• ABCs
• IV access, monitor

NIHSS) • Non-contrast ... MRI brain w/o contrast ... NCCT vs MRI w/o contrast ... suspicion) • +/- bubble

Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with

on this saline contrast ... Early transit of bubbles ... cardiology #saline #contrast

Drug Induced Kidney Injury
• Pre-Renal: NSAIDS, CNI, ACEI/ARB, IL-2 therapy, Diuretics CAR-T therapy
• Osmotic

Osmotic injury to tubules ... sucrose), Mannitol, Contrast ... Antibiotics, Radio-contrast

Contrast dyes are divided into three groups based on their osmolarity. High-osmolar contrast medium (HOCM),

Contrast dyes are ... High-osmolar contrast ... either low-osmolar contrast ... or iso-osmolar contrast ... #Nephrology #IVContrast

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