Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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diagnosis cardiology clinical contrast echocardiogram effect agitation atrium covid19 criticalcare delirium differential doppler doubleshunt focused hepaticvein icu intrapulmonary lungexam management
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... saline) in the right ... with an ASD ... defect #a4c #Echocardiogram ... clinical #cardiology #pocus
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 Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right ... Diagnosis 1. ... shunt 2. ... #Right #Atrium ... #pocus #bubble
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 Focused POCUS Lung and Cardiac Ultrasound Exams in COVID-19 Patients 1. Turn machine on / Enter patient
Focused POCUS Lung ... COVID-19 Patients 1. ... patient info / Select ... save 4 views of right ... covid19 #sarscov2 #protocol
Pain, Agitation, and Delirium (PAD) in the ICU Addressing the ICU Triad (PAD) can be accomplished through
ICU Liberation Bundle ... Total scores >2 ... Target -1, but will ... Non-Benzos): • Propofol ... Propofol infusion
Normal hepatic vein Doppler Ultrasound tracing 1) a large antegrade waveform (negative velocity) noted during early and
Ultrasound tracing 1) ... antegrade waveform (negative ... towards the RV apex 2) ... the RA into the right ... tracing #diagnosis #pocus
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 Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary
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