ASPD a4c ultrasound clinical pocus aortic radiology thrombus s4c septal plax psax atrial hocm 2

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Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-)
EM resident

EKG nonspecific, Serial ... Metoprolol - VCU Ultrasound ... #HCM #clinical ... echocardiogram #plax ... #cardiology #pocus

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Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between

territory] In PLAX ... DD the [apical HOCM ... #clinical #cardiology ... echocardiogram #pocus ... #a4c

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Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with

as RAP>LAP as atrial ... septum shifts left ... stretched PFO or ASD ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary

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