Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
effect = a washout ... saline) in the right ... #contrast #effect ... defect #a4c #Echocardiogram ... clinical #cardiology #pocus
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Large Atrial Septal Defect and clearly not a PFO. I want to personally thank all the
Large Atrial Septal ... Defect and clearly ... Clinical #Cardiology #POCUS ... Echocardiogram #A4C ... #ASD #Large #SeptalDefect
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Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Pressure Waveforms - Differential ... atrioventricular block - Large ... enlarged a waves - Large ... septal defect ... Waveforms #JVP #Differential
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right ... Atrium - Differential ... Small secundum ASD ... #Contrast #Effect ... #Right #Atrium
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Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... defect on cardiac ... Bubble #Study #ASD ... Echocardiogram #A4C ... #Large
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Vasculitis - Break down based on vessel size 
Distribution of vessel involvement by large vessel vasculitis,
vasculitis can affect ... affects large arteries ... vasculitis, which can affect ... (from left to right ... #Rheumatology #Differential
Normal hepatic vein Doppler Ultrasound tracing
1) a large antegrade waveform (negative velocity) noted during early and
Normal hepatic vein ... tracing 1) a large ... antegrade waveform (negative ... the RA into the right ... tracing #diagnosis #pocus
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Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
/0.8)] - PaO2 Normal ... A-a gradient to normal ... Age-Adjusted Gradient β€’ Right ... β€’ Diffusion Defect ... Hypoxia #hypoxemia #differential
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 β€’ Apply direct pressure/compression bandage
hemorrhage β€’ Apply direct ... Failure - Apnea/poor effort ... Binder) β€’ Use POCUS ... massive transfusion protocol ... pupil, Cushing's triad