Dr. Gerald Diaz @GeraldMD
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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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Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... with Contrast ( ... a4c) An elderly ... #Septal #Defect ... #Contrast #a4c
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ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
Echocardiogram ... (a4c) A patient ... Ivan_Echocardio #atrial ... #septal #defect ... #a4c #clinical
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Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... ) in the right atrium ... #washout #ASD #atrial ... #septal #defect ... #a4c #Echocardiogram
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Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View

RCM is a disease of diastole β€”> severe
Restrictive Cardiomyopathy ... on Echocardiogram ... septum might look ... #Restrictive #Cardiomyopathy ... #cardiology #a4c
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Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... - Differential ... ASD or PFO with left ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
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Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
on this saline contrast ... liver disease and pulmonary ... as RAP>LAP as atrial ... septum shifts left ... clinical #pocus #a4c
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In order to get good visualization of the RV, Intravenous Definity (brand name echo contrast material)
material) was required ... The RV is on the left ... described for Pulmonary ... Clinical #POCUS #Echocardiogram ... #Definity #A4C
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Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
coagulopathy) β€’ CBC w differential ... o infection β€’ Echocardiogram ... blood retum in serial ... Renal #Syndromes #differential ... #diagnosis #management
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Peripartum Cardiomyopathy ... Differential Diagnosis ... β€’ Pulmonary embolus ... Management during ... Serial TTE and close
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
LV Thrombus on Echocardiogram ... (A4C) 48 year ... maybe consider contrast ... are not POCUS: serial ... #A4C #clinical
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