2417 results
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Right Atrium - Differential ... left to right shunt ... Right #Atrium #RA #Differential ... echocardiogram #s4c #pocus #bubble
Hepatopulmonary Syndrome (HPS) demonstrated on Echocardiogram Bubble Study

Intra-cardiac shunt: Bubbles appear in LA quickly (within 3
Echocardiogram Bubble ... Intra-cardiac shunt ... : Bubbles appear ... Intra-pulmonary shunt ... (this video): Bubble
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
contrast TTE when bubbles ... with intracardiac shunt ... Echocardiogram #A4C #bubble
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
of Hypoxemia- Differential ... Right to Left Shunt ... Right to Left Shunt ... Hypoxemia #Hypoxia #Differential
Differential Diagnosis: Cyanosis - Mnemonic "COLD PALMS"
Peripheral cyanosis 
• Cold 
• Obstruction 
• LVF and shock
Differential Diagnosis ... sulfhemoglobinemia • Shunt
Causes of Cyanosis in the Newborn - Differential Diagnosis Algorithm
Peripheral Only:
 • Poor Perfusion
 • Acrocyanosis
Hemoglobinopathy:
the Newborn - Differential ... Left-to-Right Shunt ... Right-to-Left Shunt ... Cyanosis #Newborn #Differential
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential ... Right-to-Left Shunt ... Hypoxemia #Hypoxia #Differential
Right to Left Shunt on POCUS Echocardiogram (S4C)

Dr. Ashley Miller @icmteaching

#Shunt #POCUS #Echocardiogram #S4C #clinical #cardiology
Right to Left Shunt ... icmteaching #Shunt ... clinical #cardiology #bubble
An Algorithm for CSF Shunt Complications
#Algorithm, #CSFShunt, #NSGY, #Neurosurgery, #ddxof
Algorithm for CSF Shunt
Patent Ductus Arteriosus (PDA) on Cardiac MRI

16 y with Syncope /differential cyanosis / clubbing - PDA
with Syncope /differential ... PDA with R to L shunt