RAPD ophthalmology syndrome pocus cardiology diagnosis algorithm pupillary clinical a4c - GrepMed

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

hepatopulmonary syndrome ... R➡️L shunt as RAP ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary ... #cardiology #saline

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