ASPD a4c diagnosis peds echocardiogram mcconnells intransit contrast clots 2 negative sign

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This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:

What's the diagnosis ... sign. ... Clinical #POCUS #Echocardiogram ... #A4C #McConnells ... #Thrombus #Clots

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

Negative Contrast ... Small secundum ASD ... to right shunt 2. ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble

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