ASPD clinical msk cardiology nejm labeled pocus knee shoulder radiology xray a3c rheumatic atrium

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Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history

Giant dilated left atrium ... t look typical rheumatic ... ASD with R/L shunting ... #clinical #cardiology ... #pocus

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Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology

- with severe MS ... (5) Layered clot ... (7) patient in atrial ... ) this patient should ... #cardiology #a4c

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