Dose radiology pocus pcl psax em cardiac sonostuff a4c echocardiogram atrial bubble hcm asd 2 hocm

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Septal Hypertrophic Cardiomyopathy (HOCM)

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

trops (-) EM ... MRI (+) septal HCM ... Cardiomyopathy #HOCM ... #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 ... PVeins (extra-cardiac ... #clinical #pocus ... #a4c #intrapulmonary

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