ASPD bubble echocardiogram pocus ultrasound trauma plax asd msk septal doubleshunt hypertrophic

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Septal Hypertrophic Cardiomyopathy (HOCM)

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

Septal Hypertrophic ... Metoprolol - VCU Ultrasound ... HCM #clinical #echocardiogram ... #plax #cardiology ... #pocus

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

Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD ... DavidWienerMD #DoubleShunt ... #clinical #pocus

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