Sag pocus lung radiology atrial em a4c pulmonary sign septal echocardiogram bubble hocm 1:

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Septal Hypertrophic Cardiomyopathy (HOCM)

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

EKG nonspecific, Serial ... trops (-) EM ... HCM + SAM ==> D ... #echocardiogram ... #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 ... Early transit of bubbles ... as RAP>LAP as atrial ... septum shifts left ... #clinical #pocus

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