GeraldMD - GrepMed

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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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Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in

Negative contrast ... effect = a washout ... #contrast #effect ... defect #a4c #Echocardiogram ... clinical #cardiology #pocus

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

pupillary defect ... Left relative afferent ... Instead of pupil constriction ... both pupils will dilate ... pupillary defect

Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left

Effect in Right ... Diagnosis 1. ... Small secundum ASD ... or PFO with left ... #Contrast #Effect

Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history

Giant dilated left ... (a4c) It belongs ... sinus rhythm... 1. ... #left #atrium # ... a4c #Echocardiogram

Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.

vision in the left ... with bright or direct ... affects young females ... proceeding to 1% ... which if positive (constriction

Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with

>LAP as atrial septum ... shifts left ... In addition to dilated ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary

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