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 aa alveolar arterial asd atrium bubble cabcde doppler gradient hepaticvein hypokalemia hypoxemia hypoxia jugular jvp
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
effect = a washout ... saline) in the right ... #contrast #effect ... #septal #defect ... #a4c #Echocardiogram
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 Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... Pressure Waveforms - Differential ... enlarged a waves - Large ... septal defect ... Cardiac tamponade #Abnormal
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right ... Atrium - Differential ... #Contrast #Effect ... #Right #Atrium ... #pocus #bubble
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 Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Algorithm for patients ... syndrome Low-normal ... Distal RTA Low-normal ... Non-reabsorbable anion effect ... urine #potassium #differential
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 • Right ... • Diffusion Defect ... Hypoxia #hypoxemia #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 ... NephroPOCUS @NephroP #Normal
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 Pediatric Trauma Primary Survey: C-ABCDE C - Catastrophic Bleeding - Life-threatening hemorrhage • Apply direct pressure/compression bandage
hemorrhage • Apply direct ... Failure - Apnea/poor effort ... Binder) • Use POCUS ... massive transfusion protocol ... shock - ↓HR, ↓BP, Abnormal
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