ASPD bubble echocardiogram pocus ultrasound pulmonary plax sign pneumonia a4c doubleshunt saline

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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 ... DavidWienerMD #DoubleShunt ... #clinical #pocus ... #a4c #intrapulmonary

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