Sag pocus lung radiology atrial em a4c pulmonary sign septal doubleshunt cardiomyopathy

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Septal Hypertrophic Cardiomyopathy (HOCM)

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

Cardiomyopathy ... EKG nonspecific, Serial ... trops (-) EM ... echocardiogram #plax #cardiology ... #pocus

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

liver disease and pulmonary ... as RAP>LAP as atrial ... septum shifts left ... DavidWienerMD #DoubleShunt ... #a4c #intrapulmonary

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