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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9 results
Hepatopulmonary Syndrome (HPS) demonstrated on Echocardiogram Bubble Study

Intra-cardiac shunt: Bubbles appear in LA quickly (within 3
demonstrated on Echocardiogram ... Intra-cardiac shunt ... beats) Intra-pulmonary ... #clinical #POCUS ... #cardiology
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Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... defect on cardiac ... #SeptalDefect #Clinical ... #Cardiology #POCUS ... #Echocardiogram
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Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nose deformity β€’ Cardiac ... (UPC) ratio β€’ Cardiac ... o infection β€’ Echocardiogram ... differential #diagnosis #management ... #treatment
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash Β± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... , DIC, TMA β€’ Cardiac ... hepatitis β€’ Pulmonary ... Disease #diagnosis #management ... #treatment #rheumatology
Persistent Left Superior Vena Cava and Unroofed Coronary Sinus
Bubble study for cryptogenic stroke.  Left arm
Coronary Sinus Bubble ... β†’ L superior cardinal ... ) & RA or both atria ... CoronarySinus #clinical ... #cardiology #echocardiogram
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Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... Early transit of bubbles ... as RAP>LAP as atrial ... PVeins (extra-cardiac ... #clinical #pocus
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Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
cardiomyopathy β€’ Pulmonary ... and timing with Cardio-OB ... Serial TTE and close ... follow-up with Cardio-OB ... #cardiology #treatment
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
HFpEF and CAD Management ... controlled by above medications ... diet, exercise, cardiac ... Enroll in HFpEF clinical ... #Algorithm #cardiology
Management of Immune Checkpoint Inhibitor (ICI) Induced Cardiotoxicity
Problem - Immune checkpoint inhibitors (ICIs) are associated with
abatacept for the treatment ... normal, significant echocardiogram ... requiring intravenous medications ... Cardiotoxicity #cardiology ... #treatment