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 ... 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 ... you close the defect ... #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 ... effect = a washout ... of the contrast ... Echocardiogram #clinical ... #cardiology #pocus
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Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   β€’ Prolonged standing
Shock - Differential ... Diagnosis by Classification ... Medication side effect ... Medication side effect ... #Table #Causes
Large Atrial Septal Defect and clearly not a PFO. I want to personally thank all the
Atrial Septal Defect ... 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
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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Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 β€’ Imaging Findings:
 β€’ Large defect of the
Findings: β€’ Large defect ... Intra-articular contrast ... Differential diagnosis ... Ligament #shoulder #clinical ... #mri #clinical
Cortical Desmoid - MSK Radiology
Imaging Findings:
 β€’ Circumscribed, small cortically based Tl -hypointense and T 2-hyperintense
Most have post-contrast ... Differential diagnosis ... Fibrous cortical defect ... Cortical #Desmoid #clinical ... #mri #clinical
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