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

An elderly patient with dyspnea -
Atrial Septal Defect ... with Contrast ( ... #Septal #Defect ... #clinical #pocus ... #bubble #Shunting
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Ivan_Echocardio #atrial ... #septal #defect ... #ASD #Bubble #Contrast ... #a4c #clinical
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
demonstrated by contrast ... TTE when bubbles ... visualized in the left ... atrium within 3 ... #hepatology #clinical
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Differential Diagnosis 1. ... ASD or PFO with left ... Diagnosis #cardiology #clinical ... #echocardiogram ... #s4c #pocus #bubble
Differentiating PAH from PVH - Echocardiography
Pulmonary Artery Hypertension (PAH):
 • RV size - Enlarged
 • LA
• Interatrial septum ... from right to left ... • ElA ratio << 1 ... Differentiating #PAH #PVH #Echocardiogram ... #comparison #diagnosis
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... as RAP>LAP as atrial ... septum shifts left ... #clinical #pocus
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
lung disease, left ... thromboembolism) 1) ... Transthoracic echocardiogram ... of ventricular septum ... diagnosis #management #hepatology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
diffusion-perfusion defect (Type 1) ... shunt (Type 2) Clinical ... Microbubbles appear in left ... cycles after right atrial ... management #treatment #hepatology
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... cultures/serology: Serial ... often small (<1 ... Predilection for left-sided ... #Endocarditis #comparison
Amyloidosis - Summary
Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
Clinical suspicion ... activation → IL-1 ... Testing: • EKG • Echocardiogram ... disproportionate atrial ... spleen • Fecal fat measurements