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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13 results
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... Echocardiogram with Contrast ... Echocardiogram #Contrast ... #a4c #clinical ... #pocus #bubble #
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ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Ivan_Echocardio #atrial ... #ASD #Bubble #Contrast ... Echocardiogram #a4c #clinical ... #cardiology #pocus
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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 ... 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 ... opportunity for clarification ... jchristianfox #Clinical ... #Cardiology #POCUS
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Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
hepatobiliary phase β€’ Contrast ... Hepatic #Ultrasound #Contrast ... #CT #MRI #POCUS ... #radiology #differential ... diagnosis #comparison #table
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... and ventricles contract ... to JV when RA contracts ... excludes other differentials ... that’s called β€œclinical
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Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... - Differential ... Diagnosis #cardiology #clinical ... echocardiogram #s4c #pocus
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Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
Achalasia Classification ... Contrast Esophagram ... #Achalasia #Classification ... gastroenterology #clinical ... #barium #contrast
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
Liver Lesions on Contrast ... Hepatic #Ultrasound #Contrast ... #POCUS #radiology ... #differential # ... diagnosis #comparison #table
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
β€’ Uncommon but life-threatening
β€’ Most common site of bowel connection
the duodenum Clinical ... β€’ Should be on differential ... the OR β€’ HD stable ... about 50% β€’ Stable ... extravasation of contrast