13 results
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
on Echocardiogram ... sinus rhythm... 1. ... aneurysm idiopathic. 2. ... #a4c #Echocardiogram ... clinical #cardiology #pocus
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... 1. ... to right shunt 2. ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
Renal Cell Carcinoma (RCC) - Diagnosis and Management Summary
Clinical features - Classic triad (flank pain, hematuria,
Carcinoma (RCC) - Diagnosis ... and Management ... disease Imaging and Treatment ... abdominal CT scan with contrast ... #Management #Summary
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
diffusion-perfusion defect (Type 1) ... anatomic shunt (Type 2) ... blood gas (ABC) ... ) on room air Treatment ... #management #treatment
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... bubbles = PFO 2. ... as RAP>LAP as atrial ... #clinical #pocus ... #a4c #intrapulmonary
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
thromboembolism) 1) ... Transthoracic echocardiogram ... ventricular septum 2) ... pressure < 15mmHg TREATMENT ... #management #hepatology
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
and Management ... decade → peripheral/acral ... GH & PRL) • ~2% ... Pituitary MRI+contrast ... #Treatment #Pathophysiology
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
• Classic triad ... Hypertension: 1/ ... • Headache → mild ... phenoxybenzamine blocks alpha-1 ... #Management #treatment
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
starting amiodarone treatment ... including: 1. ... Non-productive cough 2. ... Exclusion of other ILDs ... #management #Toxicology
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
within the first 1 ... to 2 weeks after ... decrease in HIV-1 ... starting ART < 2 ... #Management