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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Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal
test Left relative ... Swing light to left ... Left relative afferent ... pupillary defect ... Swing light to left
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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Cor Triatriatum on Echocardiogram

 - EchoTalk Echocardiography
@echotalk

Cor Triatriatum (or triatrial heart) is a congenital heart defect
congenital heart defect ... where the left ... sinistrum) or right ... Echocardiogram #A4C ... #POCUS #Clinical
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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. ... to right shunt ... #Contrast #Effect ... #Right #Atrium
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Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
light conditions ... vision in the left ... or direct light ... lights with light ... proceeding to 1%
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