Penetration pocus lachman a4c s4c atrial pericardial alternans bubble contrast saline diagnosis 1:

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Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left

Negative Contrast ... 1. ... opacification by agitated saline ... echocardiogram #s4c ... #pocus #bubble

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

1. ... Early transit of bubbles ... as RAP>LAP as atrial ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary

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