POCUS Ocular Algorithm echocardiogram atrial a4c apical myxoma clinical asd cardiac cardiology anatomy labeled a2c bubble anomaly amyloidosis doubleshunt contrast

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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 ... #clinical #pocus ... #a4c #intrapulmonary

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